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创伤性浮动胸壁临床治疗62例体会
引用本文:江吕泉,孙江,陈康. 创伤性浮动胸壁临床治疗62例体会[J]. 实用临床医药杂志, 2000, 0(3)
作者姓名:江吕泉  孙江  陈康
作者单位:武警江苏总队医院!扬州,225003,武警江苏总队医院!扬州,225003,武警江苏总队医院!扬州,225003
摘    要:目的 :总结创伤性浮动胸壁的治疗体会。方法 :2 0年收治创伤性浮动胸壁 62例。手术内固定 14例 ,非手术治疗4 8例 ,其中非固定治疗 36例 ,加压包扎固定 12例。结果 :治愈 58例 ,死亡 4例。 2例因创伤性休克死亡 ,另外 2例分别并发呼衰及严重颅脑损伤而死亡。结论 :对创伤性浮动胸壁 ,采用以治疗肺挫伤为主的综合治疗 ,不排除固定胸壁在治疗中的应用

关 键 词:胸部创伤  浮动胸壁  肺挫伤

ANALYSIS OF THE TREATMENT OF 62 CASES WITH FLAIL CHEST
JIANG Lu quan,SUN Jiang,CHEN Kang. ANALYSIS OF THE TREATMENT OF 62 CASES WITH FLAIL CHEST[J]. Journal of Clinical Medicine in Practice, 2000, 0(3)
Authors:JIANG Lu quan  SUN Jiang  CHEN Kang
Abstract:Objective:To sum up our experiences in the treatment of traumatic flail chest.Methods:From January 1979 to October 1999, 62 patients with traumatic flail chest were treated. 14 cases received operations and 48 were nonoperations, including 36 cases without chest fixing and 12 with pressure chest fixing.Results:58 cases were cured. 4 patients were dead, two died from traumatic shock, two died of respiratory failure and severe head injury.Conclusions:Synthetical treatment was chiefly adopted by the therapy of pulmonary contusion , but the effect of chest fixiation should not be excluded.
Keywords:thoracic trauma  flail chest  pulmonary contusion
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