严重胸部创伤临床救治方法探讨

Clinical Treatment of Severe Thoracic Trauma

目的:研究严重胸部创伤的有效救治方法。方法:回顾性分析本院2009年1月-2012年10月收治的33例严重胸部创伤患者的临床资料,总结患者的治疗方法和治疗效果。结果:33例患者中,死亡2例,存活31例。患者均使用纤维支气管镜诊疗,术后效果明显,患者血氧饱和度、氧分压和二氧化碳分压与治疗前比较,差异均有统计学意义(P<0.05)。结论:在严重胸部创伤患者救治中使用纤维支气管镜效果好,可以有效地清除各种分泌物,促进呼吸道通畅,值得应用。

Objective： To study the effective treatment of severe thoracic trauma. Method： A retrospective analysis of clinical data of our hospital from January 2009 to October 2012, 33 patients with severe chest trauma patients admitted to sum up the patients＇ treatment and the treatment effect. Result： 2 patients died, 31 cases survived. Patients used the the fiberoptic bronchoscope clinic after effect, the patients＇ oxygen saturation, partial pressure of oxygen and carbon dioxide partial pressure before treatment showed significant improvement, with significant differences （ P〈0.05 ） . Conclusion： Fiberoptic bronchoscopy in the treatment of severe chest trauma patients can effectively remove various secretions, and promote airway potency worthy of application.