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目的:讨论急性血气胸病因及手术治疗急性血气胸的效果并对其进行分析。方法:回顾分析1999年8月至2015年7月笔者收治的急性血气胸患者122例,其中20例进行了开胸手术,102例进行了急诊手术。观察治疗效果并进行分析。结果:由于急诊手术一组和开胸手术一组患者的病情情况不同,其一般资料存在差异,故比较没有统计学意义(P>0.05)。从数据上看,总共手术122例,病死人数有6例,死亡率为4.92%;开胸手术治愈16例,占80%,其治疗死亡人数为4例,占20%。总共有3例发生感染并发症,占2.46%。结论:急性血气胸病情复杂,传统手术治疗血气性有其优点,也有一定缺点,但总体治疗效果不错,值得进一步研究。
Objective: To discuss the effect of acute hemopneumothorax and surgical treatment of acute hemothorax and analyze it. Methods: A retrospective analysis of 122 patients with acute hemopneumothorax admitted to our hospital from August 1999 to July 2015 was performed. Twenty patients underwent thoracotomy and 102 patients underwent emergency surgery. Observe the treatment effect and analyze. Results: Because of the different conditions of emergency surgery and a group of patients undergoing thoracotomy, the general data were different, so there was no statistical significance (P> 0.05). Data from the point of view, a total of 122 cases of surgery, the number of deaths in 6 cases, the mortality rate was 4.92%; thoracotomy cured 16 cases, accounting for 80%, the treatment of deaths in 4 cases, accounting for 20%. A total of 3 cases of complications of infection, accounting for 2.46%. Conclusion: Acute hemophthora pneumonopathy is complex and the traditional surgical treatment of blood gas has its advantages and disadvantages, but the overall treatment is good and worthy of further study.