| 胸部穿透伤234例救治体会 |
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| 引用本文： | 王建柏,高劲谋,胡平,李昌华.胸部穿透伤234例救治体会[J].创伤外科杂志,2008,10(3):222-224. |
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| 作者姓名： | 王建柏 高劲谋 胡平 李昌华 |
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| 作者单位： | 重庆市急救医疗中心创伤科,重庆,400014 |
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| 摘 要： | 目的 探讨胸部穿透伤的诊治方法和效果.方法 回顾性分析我科2000年1月～2006年12月收治的胸部穿透伤234例的临床资料.非手术治疗164例,胸腔穿刺11例,胸腔闭式引流106例.手术治疗70例(29.9%),其中51例在入院后1小时内手术,急诊室剖胸2例,术前安放胸腔闭式引流51例.剖胸探查40例,肺脏及支气管手术40例,心脏及大血管手术18例.剖腹探查19例,肝脾手术18例,胃肠手术17例.剖腹 剖胸2例.结果 本组治愈227例(97.0%).死亡7例(3.0%),其中4例未来得及手术死于失血性休克;手术组分别因多心腔伤、ARDS和肺部感染术后死亡3例.结论 胸部穿透伤比钝性伤较多需要手术,也比钝性伤有较好预后;诊断处理是否及时准确往往比伤情本身更影响生存率.
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| 关 键 词： | 胸部损伤 创伤 治疗 胸部穿透伤 救治体会 thoracic injuries penetrating Management cases 生存率 影响 伤情 诊断处理 钝性伤 术后死亡 肺部感染 ARDS 组分 失血性休克 治愈 结果 剖腹探查 胃肠手术 |
| 文章编号： | 1009-4237(2008)03-0222-03 |
| 修稿时间： | 2007年7月18日 |
Management of penetrating thoracic injuries:experience in 234 cases |
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| WANG Jian-bai,GAO Jin-mou,HU Ping,et al..Management of penetrating thoracic injuries:experience in 234 cases[J].Journal of Traumatic Surgery,2008,10(3):222-224. |
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| Authors: | WANG Jian-bai GAO Jin-mou HU Ping |
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| Institution: | WANG Jian-bai,GAO Jin-mou,HU Ping,et al.(Department of Traumatology,Chongqing Emergency Medical Center,Chongqing 400014,China) |
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| Abstract: | Objective To evaluate the therapeutic methods and effect of penetrating thoracic injuries.Methods The clinical data of 234 cases with penetrating thoracic injuries treated in our unit from January 2000 to December 2006 were studied retrospectively.In this study,164 cases were treated nonoperatively.Thoracentesis in 11 cases and thoracic closed drainage in 106 cases.Operative therapy was performed in 70 cases(29.9%).Of these 70 cases,51 patients were operated within 1 hour after admission,Emergency Room Thor... |
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| Keywords: | chest injury trauma treatment |
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