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目的总结胸部外伤的诊治经验。方法回顾分析581例胸部外伤的临床资料,其中肋骨骨折、肺挫伤、血气胸常见,伴有颅脑损伤和腹部闭合伤。结果全组治愈569例,治愈率97.4%,死亡12例,死亡原因包括伤及心脏及大血管2例,胸腹联合伤2例,ARDS 2例,胸外伤合并重度颅脑损伤6例,死亡率2.6%。结论创伤所致胸外伤病情危急,具体分析致伤原因及根据临床体征检查,迅速作出诊断和快速救治是关键,合并颅脑损伤、腹部脏器损伤、急性呼吸窘迫综合征(ARDS)和失血性休克是其主要死亡原因。
Objective To summarize the experience of diagnosis and treatment of chest trauma. Methods A retrospective analysis of 581 cases of chest trauma clinical data, including rib fractures, pulmonary contusion, pneumothorax common, accompanied by traumatic brain injury and closed abdominal injury. Results All the patients were cured 569 cases, the cure rate was 97.4%, and 12 died. The causes of death included 2 cases of heart and major vessel injury, 2 cases of thoracoabdominal combined injury, 2 cases of ARDS, 6 cases of thoracic injury combined with severe craniocerebral injury and death 2.6% rate. Conclusions The traumatic thoracic trauma patients are in critical condition. It is the key to analyze the cause of the traumatic injury and diagnose the patients rapidly according to the clinical signs. It is the key to diagnose and promptly treat the traumatic brain injury, abdominal organ injury, acute respiratory distress syndrome (ARDS) and hemorrhagic Shock is the main cause of death.