145例急性胸部外伤治疗分析

目的探讨胸部外伤的抢救及治疗方法。方法分析145例胸部外伤患者的救治过程。结果 145例患者中138例生存,治愈率95.17%;病死7例,死亡率4.83%。受伤原因,车祸伤比例,显著高于高处坠落伤及刀枪伤,P0.05;高处坠落伤与刀枪伤没有差异,P0.05,车祸伤是外伤第一原因。结论对胸部外伤,尤其是合并多发伤的胸部外伤患者要早期明确诊断,及时治疗,才能提高抢救成功率,降低病死率。

Analysis of treatment of acute chest trauma in 145 cases

Objective To investigate the rescue and treatment of chest trauma.Methods To analyse the process of rescue and treatment in 145 cases of chest trauma in our hospital.Results In 145 cases,138 cases were survival.The cure rate was 95.17%.7 cases died.The mortality was 4.83%.In the causes of injury,the proportion of accident injury was significantly higher than that of swords and guns hurt and falling injury from height（P〈0.05）.There was no difference between falling injury from height and swords and guns hurt（P〉0.05）.The accident injury was the first cause.Conclusion Chest trauma,especially which complicated with multiple wounds,should be early diagnosed and treated timely.Only thus,the rescue and treatment can improve the success rate and reduce mortality.