肋骨骨折合并迟发性血胸的临床研究分析

Clinical Research and Analysis of Rib Fractures Combine With Delayed Hemothorax

目的探讨肋骨骨折合并迟发性血胸的治疗方法。方法选取肋骨骨折合并迟发性血胸患者115例,根据治疗方案分为两组,对照组57例行开胸治疗,观察组58例行胸腔穿刺或胸腔闭式引流术治疗。结果观察组手术时间、术后住院时间少于对照组,血性溶液抽出量多于对照组,呼吸困难病症改善时间、胸闷气短病症改善时间、胸腔积液病症改善时间、体温复常时间早于对照组,术后并发症发生率低于对照组,P<0.05,差异具有统计学意义。结论胸腔穿刺或胸腔闭式引流术是肋骨骨折合并迟发性血胸的有效治疗方法。

Objective To explore treatment methods of rib fractures and delayed hemothorax.Methods Selected 115 patients with rib fractures combined with delayed hemothorax, were divided into two groups by treatment methods. The control group had 57 patients were treated with thoracotomy. The observation group had 58 patients were treated thoracentesis or closed thoracic drainage.Results Operation time and postoperative hospitalization time in observation group were less than the control group, bloody solution extraction quantity in observation group was more than the control group, dyspnea symptom improvement time, chest tightness and breath shortness symptom improvement time, pleural effusion symptom improvement time, body temperature returned to normal time in observation group were earlier than control group. Incidence of postoperative complications in observation group was lower than control group,P〈0.05, had difference statistically significance.Conclusion Thoracentesis or pleural closed drainage has an effective method in treatment of rib fracture and delayed hemothorax.