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目的探讨严重胸外伤的外科综合治疗,降低死亡率,减少并发症。方法本组患者32例,其中单纯胸腔闭式引流20例,即时开胸探查以及观察效果不理想中转探查11例,其中肺破裂修补2例,主支气管断裂吻合1例,下肺静脉破裂修补1例,心房破裂修补2例,连枷胸钢板固定1例。另外合并隔疝修补2例,肝破裂修补1例,脾破裂切除1例。结果经治疗痊愈30例,死亡1例,转诊1例。结论严重胸外伤的患者病情复杂,危重,必须迅速及时正确地早期诊断并采取有效的治疗,可有效地防止急性呼吸循环功能衰竭的发生,可提高严重胸外伤患者的治愈率。
Objective To investigate the surgical comprehensive treatment of severe thoracic trauma, reduce mortality and reduce complications. Methods The group of 32 patients, including simple thoracic drainage in 20 cases, real-time thoracotomy and observation results are not ideal for the transfer of exploration in 11 cases, of which 2 cases of ruptured lung rupture, bronchial rupture anastomosis in 1 case, repair of the lower pulmonary vein rupture in 1 case , Atrial rupture repair in 2 cases, even flail chest plate fixation in 1 case. In addition, there were 2 cases of hernia repair, 1 case of liver rupture and 1 case of splenic rupture. Results After treatment healed 30 cases, 1 died, referral in 1 case. Conclusions The patients with severe thoracic trauma are complicated and critically ill. Therefore, they must be promptly and correctly diagnosed early and taken effective treatment, which can effectively prevent the occurrence of acute respiratory cycle failure and improve the cure rate of patients with severe thoracic trauma.