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创伤性胸外伤的临床诊治体会
引用本文:钟金龙,钮海弟,徐善明,陈喜云,刘景田.创伤性胸外伤的临床诊治体会[J].中国临床医学,2007,14(5):640-641.
作者姓名:钟金龙  钮海弟  徐善明  陈喜云  刘景田
作者单位:复旦大学附属金山医院胸外科,上海,200540
摘    要:目的:总结分析胸部外伤的诊治特点。方法:回顾分析760例胸部外伤程度及治疗情况,其中肋骨骨折,肺挫伤,血气胸常见,伴有颅脑损伤和腹部闭合伤。结果:治愈741例。心脏破裂抢救成功1例,死亡3例;复合伤引起死亡16例。结论:创伤所致胸外伤病情危急,具体分析致伤原因及根据临床体征检查,迅速作出诊断和快速救治是关键,合并颅脑损伤、腹部脏器损伤、急性呼吸窘迫综合征(ARDS)是其主要死亡原因。

关 键 词:胸外伤  肋骨骨折  肺挫伤  血胸  气胸  复合伤

Clinical Diagnosis and Treatment of Thorax Injury
ZHONG Jinlong,NIU Haidi,XU Shanming,CHEN Xiyun,LIU Jintian.Clinical Diagnosis and Treatment of Thorax Injury[J].Chinese Journal Of Clinical Medicine,2007,14(5):640-641.
Authors:ZHONG Jinlong  NIU Haidi  XU Shanming  CHEN Xiyun  LIU Jintian
Institution:Department of Thoracic Surgery,Jinshan Hospital, Fudan University, Shanghai 200540
Abstract:Objective:To review the clinical experience of diagnosis and treatment in thorax injury.Methods:Clinical data of 760 cases with thorax injury,including rib fracture;pulmomary contusion;hemothorax andpneumothorax;also with complicated injury such as contusion of brain,abdominal injury were analysed restropectively.Results:Among 760 cases,741 cases were cured.Only one heart repture survived by emergency operation,the rest 3 cases died.The complicated injury caused 16 death.Conclusion:Thorax injury is usually emergency,it is imperative to be diagnosed rapidly and detailly,controll life-threatening injury positively.The main cause of death is complicated with ARDS,contusion of brain and abdominal injury.
Keywords:Thorax injury  Rib fracture  Pulmomary contusion  Hemothorax  Pneumothorax  Complicated injury
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