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144例胸部创伤救治体会

THE EXPERIENCE IN TREATMENT 144 CASES OF THORACIC WOUND

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【作者】 张增庆;

【Author】 Zhang Zengqing (Department of surgery,Xuancheng people’s hospital,Anhui)

【机构】 宣城县人民医院外科;

【摘要】 本文报告144例胸部创伤,其中男性119例,女性25例。年龄7~85岁,其中18岁~59岁101例。闭合性损伤130例,开放性损伤14例。损伤类型以肋骨骨折(112例)、血气胸(51例)多见。大多为复合伤:肋骨骨折合并血气胸37例,胸腹联合伤11例,胸伤合并颅脑损伤7例等。死亡3例(2%)。文中介绍基层医院处理常见胸伤的简便有效方法,重视合并伤的处理,提出掌握急诊剖胸时机,对抢救胸伤休克极为重要。

【Abstract】 This paper reorts 144 cases of thoracic wound (119 male, 25 female), including 101 cases aged 18~59 years. 130 cases had closed wound. and 14 cases had open wound The wound in cases was rib fracture (112 cases) and/or hemopneumothorax (51 cases). 11 cases had thoracicabdominal wound. 7 cases had both thoracic and cerebral wound. 3 cases died (2%). Some treatment methods which are both simple and effective in countuy hospital and the suitable time of thoracotomy for saving the thoracic wound accompanied by shock are recommended.

  • 【文献出处】 皖南医学院学报 ,Mcta Academiae Medicinae Wannan , 编辑部邮箱 ,1987年04期
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