摘要
目的探讨创伤性连枷胸的治疗方法。方法分析48例创伤性连枷胸患者机械通气后血气分析等各种参数的变化及手术治疗的疗效。结果 22例患者行机械通气24小时后动脉血氧分压(PaO2)、氧合指数(PaO2/FiO2)和脉搏血氧饱和度(SpO2)均较治疗前明显改善(P<0.001);手术治疗23例,ICU住院时间(3.39±2.29)天,肺部感染2例(8.70%),血管活性药物使用率17.39%(4/23);全组死亡2例,明显低于预测死亡风险。结论有创机械通气不仅能固定连枷胸,而且可有效改善氧合,与手术治疗有效结合,可显著改善连枷胸患者预后。
Objective To explore the clinical characteristics and treatment strategy of traumatic flail chest.Methods We retrospectively analyzed the data of various parameters like efficacy and blood gas analysis after mechanical ventilation and surgery for 48 patients with traumatic flail chest.Results PaO2,PaCO2,PaO2/FiO2 and SpO2 24 hours after mechanical ventilation were significantly improved than before （P 0.001）.For patients treated by surgery,the average stay in ICU of the 23 cases by surgical treatment was（3.39±2.29）days,pulmonary infection was found in 2 cases （8.70%）,and utilization rate of vasoactive drugs was 17.39% （4/23）.The mortality was 4.17% （2/48）,which was significantly lower than predicted risk of dead.Conclusion Mechanical ventilation can not only fix flail chest,but improve oxygenation effectively in patients with severe flail chest.Surgical treatment can significantly decrease the time of ventilation and stay in ICU,reduce complications and mortality.It is suggested to improve the prognosis of patients with flail chest by using surgical treatment and conservative treatment together.
出处
《实用医院临床杂志》
2010年第6期56-58,共3页
Practical Journal of Clinical Medicine
关键词
连枷胸
肺挫伤
机械通气
治疗
Flail chest
Pulmonary contusion
Mechanical ventilation
Treatment
