【摘要】 目的　探讨交通事故致连枷胸的损伤特征与救治。方法　回顾性分析 1994年 10月～ 1998年 12月我科收治 2 3例交通事故所致连枷胸患者的临床特点及诊治体会。 7例行气管切开 ,4例行肋骨牵引 ,胸骨和肋骨内固定 3例。结果　治愈19例 (82 .6 % ) ,17例肺功能恢复正常 ;死亡 4例 (17.4% )。结论　连枷胸常伴发于交通事故所致多发伤 ,钝性心脏损伤和休克发生率高 ;肺挫伤和“反常呼吸运动”是引起呼吸功能障碍的重要原因。保持呼吸道通畅、恢复胸壁稳定性、治疗肺挫伤和止痛是治疗的关键措施更多还原

【Abstract】 ? Objective To evaluate the characteristics and treatment of flail chest injury in traffic accident.Methods The clinical characteristics,diagnosis and therapeutic result of 23 cases with flail chest in our unit from October 1994 to December 1998 were analyzed retrospectively.Tracheotomy was performed in 7 cases,rib tractions in 4 cases,internal fixations of sternum and rib in 3 cases.Results There were 4 deaths(17.4%).Nineteen cases(82.6%) were cured,and 17 of them recovered normal pulmonary function.Conclusion The associated flail chest with polytrauma occurred commonly in traffic accident.The incidence of blunt cardiac injury and shock was high.Pulmonary contusion and paradoxical respiratory movement were the important causes resulting in respiratory dysfunction.The key of management was ensuring unobstruction of the air way,recovering stability of the chest wall,effective treatment of pulmonary contusion and analgesia. 〔更多还原