胸部损伤778例临床分析

目的 探讨胸部损伤的临床诊治要点.方法 分析778例胸部损伤的临床资料,受伤原因主要包括:交通事故、工伤、纠纷斗殴等,脏器损伤情况主要包括:胸部软组织挫裂伤、肋骨骨折、血气胸、肺挫伤、心脏损伤等.结果 全组治愈774例(99.35％),死亡5例(0.65％).死亡病例包括心脏裂伤1例、大血管裂伤1例、合并颅脑损伤2例、合并脾破裂1例.结论 交通事故、工伤、纠纷斗殴为胸部损伤主要病因；多数伤者经及时诊治可治愈；心脏、大血管、脾破裂致出血休克以及合并重度颅脑损伤是主要的死亡原因.

Clinical analysis of 778 cases of thoracic injury

Objective To summarize the clinical experience of thoracic injury. Methods Analyze 778 cases of thoracic injury, including soft tissue injury, rib fracture, hemothorax and pneumothorax, pulmonary contusion, cardiovascular injury,et al. The causes of the injury including traffic accident, injury suffered from the job and dispute, et al. Results 774 cases were cured among all the 778 cases with the recovery rate of 99.35 %. There were 5 cases died with the death rate of 0.65% ,including 1 case of heart rupture, 1 case of large vessle rupture,2 cases of brain combining injury, 1 case of spleen combining injury. Conclusion Thoracic injury arise new characteristic in recent years. The main causes of the injury are traffic accident, injury suffered form the job and dispute. Most cases may be cured by rapid treatment. The main causes of death are haemorrage shock due to cardiovascular or spleen rupture and combination of severe brain injury.