摘要
目的：探讨严重胸部外伤合并气血气胸患者的手术方法及治疗效果。方法：回顾性分析2013-06-2015-06我院收治并给予手术的51例严重胸部外伤合并气血气胸患者,根据病情需要实施胸腔穿刺置管引流术、胸腔闭式引流术或开胸手术,观察患者的治疗情况。结果：51例患者中,3例送院后经抢救无效死亡,2例患者术后发生成人呼吸窘迫综合征死亡,死亡率为9.8%。46例患者抢救成功,治愈率为90.2%,住院2-7周,平均（13.6±2.6）d,均康复出院,出院后随访无复发或后遗症。结论：对血气胸患者应尽早实施胸腔穿刺置管引流或胸腔闭式引流术,实施开胸手术的患者,术后应注意监测不良反应的发生。
Objective：To explore the method and treatment effect of severe chest trauma merged hemopneumothorax.Method：From June 2013 to June 2015,51 cases of severe chest trauma merged pneumohemothorax patients were selected and did retrospective analysis.Perform appropriate surgical,such as the puncture chest drainage,the closed chest drainage or the open thoracic surgery,according to each patien＇s condition.The patient cure and death situation were observed.Result：Among the 51 patients,3patients died when just arrival in hospital,2patients died of adult respiratory distress syndrome after surgery,the mortality rate was 9.8%.46 patients were given successful treatment,the cure rate was 90.2%.The average length of hospital stay was 2-7weeks（average 13.6±2.6d）.Patients had no recurrence or complications after leave hospital.Conclusion：Pneumohemothorax patients should be perform the puncture chest drainage or the closed chest drainage as soon as possible.Patients adverse reaction should be monitor after the open chest surgery.
出处
《临床急诊杂志》
CAS
2016年第9期699-701,共3页
Journal of Clinical Emergency
关键词
胸部外伤
血气胸
胸腔引流
开胸手术
chest trauma
pneumohemothorax
chest drainage
thoracotomy
