创伤性血气胸临床诊治观察

To Observe the Clinical Diagnosis and Treatment of Traumatic Hemopneumothorax

目的研究创伤性血气胸的临床诊断及治疗情况。方法选择96例创伤性血气胸患者,其中82例为闭合性胸部损伤,14例为开放性胸部损伤;8例患者采取保守治疗,88例患者实施胸腔闭式引流术。结果所选的96例创伤性血气胸患者中,90例治愈,6例死亡。其中4例并发肝破裂及胸外伤,2例并发结肠挫裂、脾破裂以及急性呼吸衰竭。结论对于创伤性血气胸治疗的重点在于准确及时的进行诊断,避免漏诊,创伤性血气胸治疗的关键就是进行胸腔闭式引流术。

Objective To study the clinical diagnosis and treatment of traumatic hemopneumothorax.Methods96 cases with traumatic hemopneumothorax, which 82 cases of closed injury of chest, 14 cases of open chest trauma; 8 patients take conservative treatment, 88 cases of patients with pneumothorax closed drainage. Results 96 cases of traumatic hemopneumothorax patients selected, 90 cases were cured, 6 cases died. In which 4 cases were complicated with hepatic rupture and thoracic trauma, and 2 cases with colon contusion, spleen rupture and acute respiratory failure. Conclusion For the treatment of traumatic hemopneumothorax focuses on accurate and timely diagnosis, to avoid misdiagnosis, the key to the treatment of traumatic hemopneumothorax is pleural closed drainage.