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目的:探讨西宁地区老年人胸外伤致迟发血胸的特点及诊治体会。方法:我院自2014年3月—2016年3月收治胸部外伤致迟发性血胸老年患者61例,行常规胸腔闭式引流术14例,改良胸腔引流术36例,双侧胸腔改良引流术6例,开胸探查术5例。结果:61例老年胸外伤致迟发性血胸患者,治愈60例,死亡1例。结论:西宁地区老年人胸部外伤患者诊断治疗时要考虑到迟发血气胸发生可能,密切观察病情变化,采取及时有效治疗方法,预防病情进展,诱发基础疾病的加重而导致多脏器功能衰竭。
Objective: To explore the characteristics and diagnosis and treatment of late-onset hemothorax caused by thoracic trauma in the elderly in Xining. Methods: From March 2014 to March 2016, 61 patients with delayed hemothorax were treated in our hospital from March 2014 to March 2016, underwent conventional closed thoracic drainage in 14 cases, modified thoracic drainage in 36 cases, bilateral modified thoracic drainage Surgery in 6 cases, open chest exploration in 5 cases. Results: 61 cases of delayed thoracic trauma caused by hemothorax patients, 60 cases were cured, 1 died. Conclusion: The diagnosis and treatment of thoracic trauma in the elderly in Xining should take into account the possible occurrence of late pneumothorax, closely observe the changes of the disease, take prompt and effective treatment to prevent the progression of the disease, and induce the aggravation of the underlying diseases, leading to multiple organ failure.