论文部分内容阅读
对 35例高原胸部火器伤的伤情及治疗进行了分析 ,伴有休克者 1 0例 ,并发症 1 0例 ,分别占2 7 1 % ,分析造成并发症的主要原因是没有及时彻底地对伤道进行清创 ,致伤造成的游离碎骨未能及时清除 ,胸腔引流不彻底及抗生素用量不足等。提出及时诊断 ,严格按战伤救治原则把握手术指征 ,尽早彻底清创 ,去除死骨 ,合理运用胸腔闭式引流和胸腔穿刺 ,加大抗感染力度 ,加强重要器官功能的支持是减少并发症和死亡率的关键。
Thirty-five cases of chest firearm injuries and their treatment were analyzed. One hundred and twenty patients with shock and 10 cases of complications, respectively, accounted for 27.1%. The main reason for the complication was that they did not respond promptly and completely Injury debridement, injury caused by broken bones failed to timely clearance, chest drainage is not complete and the lack of antibiotics and so on. Put forward timely diagnosis, strictly according to the principle of war wounds to grasp the surgical indications, complete debridement as soon as possible, the removal of sequestrum, the rational use of closed thoracic drainage and thoracentesis, increase anti-infective efforts to strengthen the support of vital organ function is to reduce complications And the key to mortality.