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目的探讨连枷胸肋骨固定对预防急性呼吸窘迫综合征(ARDS)的临床效果。方法对83例胸外伤-连枷胸患者进行回顾性的分析。结果本组83例,治愈67例,显效12例,无效4例,总有效率95.18%。ARDS发生率为14.45%。结论连枷胸可引起反常呼吸和纵隔扑动,严重时可导致ARDS。及早行肋骨切开复位内固定,恢复胸廓稳定性,可以降低ARDS的发生率,提高治愈率。
Objective To investigate the clinical effect of flail chest rib fixation in preventing acute respiratory distress syndrome (ARDS). Methods 83 cases of chest trauma - flail chest patients were retrospectively analyzed. Results 83 cases in this group, cured 67 cases, 12 cases markedly effective in 4 cases, the total effective rate was 95.18%. The incidence of ARDS was 14.45%. Conclusion Flail chest can cause abnormal breathing and mediastinal flutter, severe cases can lead to ARDS. Early rib cage open reduction and internal fixation, restoration of thoracic stability, can reduce the incidence of ARDS and improve the cure rate.