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目的探讨胸部穿透伤的诊治方法和临床效果。方法:对我科2001年6月～2007年6月收治的胸部穿透伤117例行回顾性分析。非手术治疗82例,胸腔穿刺11例,胸腔闭式引流53例。手术治疗35例(29.9%),其中25例在入院后1小时内手术,急诊室剖胸1例,术前安放胸腔闭式引流26例。结果:本组治愈113例(96.6%)。死亡4例(3.4%),其中3例未来得及手术死于失血性休克,手术组肺部感染术后死亡1例。结论:胸部穿透伤比钝性伤较多需要手术,也比钝性伤有较好预后;诊断处理是否及时准确往往比伤情本身更影响生存率。
Objective To investigate the diagnosis and treatment of chest penetrating injury and its clinical effect. Methods: A retrospective analysis of 117 cases of thoracic penetrating trauma admitted from June 2001 to June 2007 in our department. Non-surgical treatment of 82 cases, thoracentesis in 11 cases, thoracic drainage in 53 cases. Surgical treatment of 35 cases (29.9%), of which 25 cases within 1 hour after admission surgery, emergency room thoracotomy in 1 case, preoperative pleural closure drainage in 26 cases. Results: 113 cases (96.6%) were cured in this group. 4 died (3.4%), of which 3 died of hemorrhagic shock in the future. One patient died of pulmonary infection in the operation group. Conclusion: Thoracic penetrating injury requires more surgery than blunt trauma, and also has a better prognosis than blunt trauma. Whether the diagnosis is timely or accurate often affects the survival rate more than the injury itself.