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目的:探讨高海拔地区胸部锐器伤的诊断和治疗方法。方法:对89例胸部锐器伤的临床特点和诊治方法进行分析和总结。结果:本组剖胸探查手术56例,清创缝合、胸腔闭式引流、胸腔穿刺保守治疗33例。治愈85例,自动出院3例,转科治疗1例。结论:高海拔地区由于慢性缺氧,肺功能有不同程度的损害,胸部损伤产生血气胸后缺氧症状明显加重。对有明显血气胸和疑有心脏、大血管损伤、腹腔脏器损伤应迅速行剖胸探查手术。
Objective: To investigate the diagnosis and treatment of chest sharp injury in high altitude area. Methods: The clinical features and diagnosis and treatment of 89 cases of thoracic injuries were analyzed and summarized. Results: 56 cases of thoracotomy exploration surgery, debridement and suture, closed thoracic drainage, thoracentesis conservative treatment of 33 cases. 85 cases were cured, 3 cases were discharged automatically, and 1 case was treated by transfer therapy. CONCLUSION: Due to chronic hypoxia and pulmonary function damage in high altitude, the symptoms of hypoxia after pneumothorax are significantly increased in thoracic injury. On the obvious blood pneumothorax and suspected heart, large blood vessel damage, abdominal viscera injury should prompt line thoracotomy exploration surgery.