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目的:探讨严重胸部外伤合并气血气胸患者的手术方法及治疗效果。方法:回顾性分析2013-06-2015-06我院收治并给予手术的51例严重胸部外伤合并气血气胸患者,根据病情需要实施胸腔穿刺置管引流术、胸腔闭式引流术或开胸手术,观察患者的治疗情况。结果:51例患者中,3例送院后经抢救无效死亡,2例患者术后发生成人呼吸窘迫综合征死亡,死亡率为9.8%。46例患者抢救成功,治愈率为90.2%,住院2~7周,平均(13.6±2.6)d,均康复出院,出院后随访无复发或后遗症。结论:对血气胸患者应尽早实施胸腔穿刺置管引流或胸腔闭式引流术,实施开胸手术的患者,术后应注意监测不良反应的发生。
Objective: To investigate the surgical treatment and treatment of patients with severe chest trauma complicated with pneumothorax. Methods: A retrospective analysis of 51 patients with severe thoracic trauma and pneumothorax admitted to our hospital from June 2013 to June 2015 was performed. Thoracentesis and catheter drainage, thoracic closure drainage or thoracotomy , Observe the patient’s treatment. Results: Of the 51 patients, 3 died after being hospitalized and 2 died of respiratory distress syndrome after surgery, with a mortality rate of 9.8%. Forty-six patients were successfully rescued. The cure rate was 90.2%. Patients were hospitalized for 2-7 weeks with an average of (13.6 ± 2.6) days. All patients were recovered and recovered. No recurrence or sequelae were observed after discharge. Conclusion: Patients with hemopneumothorax should be treated with thoracentesis and catheterization or thoracic drainage as soon as possible. Patients undergoing thoracotomy should pay attention to monitor the occurrence of adverse reactions after operation.