多发性肋骨骨折中肺挫伤的临床评估及意义

目的探讨多发性肋骨骨折中肺挫伤对伤情的影响因素及应对策略。方法分析多发性肋骨骨折中20例无肺挫伤(A组)、21例单肺挫伤(B组)和35例双肺挫伤(C组)的相关临床参数。结果经秩和检验呼吸机支持时间、肋骨骨折数、多发伤评分(ISS评分)、胸部简明创伤评分(AIS),A与B、C两组有统计学意义(P<0.05),经卡方检验肋骨骨折范围、受伤原因、连枷胸、住院期间血气胸情况、住院期间氧饱和度及呼吸支持方式,A、B及C三组均有统计学意义(P<0.05)。结论多发性肋骨骨折中肺挫伤范围及严重程度受多种因素影响,是独立危险因素,早期支持呼吸,处理合并伤是救治成功的关键。

The clinical significance of the lung contusion in the fracture of multiple ribs

Objective To investigate the influencing factors and coping strategies of the lung contusion in the fracture of multiple ribs.Methods 76 patients with fracture of multiple ribs were divided into three groups: 20 cases without lung contusion(group A),21 cases with single lung contusion(group B) and 35 cases with two lungs contusion(Group C),and clinical parameters of three groups were analyzed.Results The numbers of rib fracture,multiple injury severity score(ISS),chest concise trauma score(AIS),rib fractures range,flail chest situation,hemopneumothorax situation and oxygen saturation during hospitalization,respiratory support methods and respiratory support time were statistically significant between A,B and C(P<0.05).Conclusion The severity of of lung contusion in fracture of multiple ribs is affected by many factors,and the lung contusion is an independent risk factor.and early support for breathing and handling associated injuries is the key to successful treatment.