胸部创伤187例临床分析

本文报告胸部创伤187例,全组死亡6例,死亡率3.2％。根据本组治疗经验,作者认为:1.浮动胸壁的治疗,不过分强调固定胸壁,而着眼于肺挫伤的处理;2.胸部严重钝挫伤后,无论胸廓有无骨折都有可能出现延迟性血气胸;3.伴有膈肌贯穿伤的胸腹外伤才能称为胸腹联合伤;4.腹腔穿刺是诊断腹内脏器伤的有效手段。

Clinical Analysis of 187 Cases of Thoracic Trauma

The experiences in the clinical treatment of 187 cases of thoracic trauma were presented. Six patients in this series died from trauma, with a motality rate of 3.21%. Accor- ding to the experiences gained, it was pointed out: 1. More attention should be paid to the treatment of the pulmonary contusion rather than to the stabilization of the thoracic wall when dealing with the flail chest; 2. The delayed hemopneumothorax subsequent ot the serious chest trauma might occur disregard the rib fracture was presenst or not; 3. The diagnosis of combined thoracoabdominal trauma could only be establisbed when both the chest and abdomen were injured at the same time associated with diaphragmatic rupture or perforation; 4. Abdominal paracentesis was the most useful methord for the diagnosis of the injuries of the abdominal organs.