外科手术对严重胸部外伤合并血气胸的疗效分析

Clinical Analysis of Surgery for Severe Chest Trauma Merged Hemopneumothorax

目的分析外科手术对严重胸部外伤合并血气胸的疗效,探讨其临床适用性。方法选择2008年3月至2011年12月于崇州市人民医院治疗的严重胸部外伤合并血气胸的患者120例,先仔细进行各个患者病情的判定与处理,然后安排相应的临床术式进行治疗。观察患者的治愈情况和死亡的发生情况。结果 120例患者中,经积极抢救无效死亡9例,病死率为7.5%,其中有3例患者重度肺挫裂伤合并重型颅脑损伤、血气胸患者,来院时呼吸已停止,最后抢救无效死亡,1例由于心脏穿刺损伤导致失血性休克而死亡,2例死于急性呼吸窘迫综合征,3例死于合并多脏器衰竭。而抢救成功111例,治愈率为92.5%。结论早期识别、及时、有针对性的救助,外科手术对严重胸部外伤合并血气胸患者的救治有很大意义,可以提高治愈率,降低患者的病死率,适合临床长期推广应用。

Objective To analyze the efficacy of surgery for severe chest trauma merged hemopneumothorax and discuss its clinical applicability.Methods From March 2008 to December 2011 in Chong City People＇s Hospital,120 cases of severe chest trauma the merged hemopneumothorax patients were selected,and the treatment decisions were carefully made according to each patient＇s condition,and then appropriate clinical surgical treatments were arranged.The patient cure and death situation were observed.Results Among the 120 patients,9 patients died,and the mortality rate was 7.5%,including 3 patients with severe pulmonary contusion combined with severe traumatic brain injury,1 patients died of the blood pneumothorax cases,2 patients died of acute respiratory distress syndrome,3 patients died of combined multiple organ failure.111 cases were given successful treatment,and the cure rate was 92.5%.Conclusion Early,timely,targeted surgery are of great significance for the treatment of severe thoracic trauma associated with blood pneumothorax,which can improve the cure rate and reduce the mortality rate,and is suitable for long-term clinical promotion and application.