| 44例胸部创伤死亡病例分析 |
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| 引用本文： | 解建,李传礼.44例胸部创伤死亡病例分析[J].泰山医学院学报,1988(4). |
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| 作者姓名： | 解建 李传礼 |
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| 作者单位： | 泰安市中心医院外科，泰安市中心医院外科 |
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| 摘 要： | 自1972年2月至1988年2月收治的胸部创伤病人中有44例死亡,其中男性38例,女性6例,16——55岁34例,占77.3％。复合性创伤33列,占75％。手术治疗37例,非手术治疗7例。住院后存活时间最短者3小时,最长者7天。死亡的主要原因依次为:创伤性失血性休克,颅脑损伤,占呼吸循环功能衰竭和胸腔感染。25例死于伤后24小时内,占56.8％,37例死于伤后48小时内,占82.7％。作者指出:①降低胸部创伤的死亡率关键在于提高旱期诊断和治疗的水平,不等待和依赖特殊检查,强调急诊室内手术。②合并颅脑损伤的误诊率最高且后果严重,应引起高度重视。③对张力性气胸的病人,应及早做胸腔闭式引流术,不主张反复穿刺排气。
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| 关 键 词： | 胸部创伤 死亡 病例报告 |
ANALYSIS OF 44 DEATHS OF THORACIC TRAUMA |
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| Xie Jan.ANALYSIS OF 44 DEATHS OF THORACIC TRAUMA[J].Journal of Taishan Medical College,1988(4). |
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| Authors: | Xie Jan |
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| Abstract: | Fourty-four patients died of thoracic tranma in the past sixteen years(Feb.1972-Feb.1988).The deaths were caused by hemorrhagic shock,craniocerebral injury,respiratory or circulatory failure and thoracic infectious.The authors conclude 1.It is essential to make early diagnosis.The operation should be carried out in the emer- gency room.2.The associated craniocerebral injury should be paled much attention to.3.Glose thoracis drainage should be carried out of patient has tension pneumothorax. |
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| Keywords: | Thoracic injuries Death Case report |
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