CAJ | 학술논문

回顾性分析我院2003年8月至2010年11月收治的31例迟发性血胸患者的临床资料。全组均有胸痛，有不同程度呼吸困难者14例(45％)，心率增快19例(61％)，发热16例(52％)，上腹痛3例(10％)，休克1例(3％)。血胸量均为中等以上，其中合并气胸9例。21例行胸腔闭式引流术，4例行胸腔穿刺抽液，5例行泼尼松口服保守治疗，1例合并膈疝者行开胸积血清除加膈肌修补术。全组均痊愈出院。肋骨骨折于胸部外伤48 h～9 d行X线胸片检查，密切观察患者胸部体征、呼吸、心率、体温等变化，是诊断和治疗迟发性血胸的关键。
회고성분석아원2003년8월지2010년11월수치적31례지발성혈흉환자적림상자료。전조균유흉통，유불동정도호흡곤난자14례(45％)，심솔증쾌19례(61％)，발열16례(52％)，상복통3례(10％)，휴극1례(3％)。혈흉량균위중등이상，기중합병기흉9례。21례행흉강폐식인류술，4례행흉강천자추액，5례행발니송구복보수치료，1례합병격산자행개흉적혈청제가격기수보술。전조균전유출원。륵골골절우흉부외상48 h～9 d행X선흉편검사，밀절관찰환자흉부체정、호흡、심솔、체온등변화，시진단화치료지발성혈흉적관건。
The clinical data of 31 patients with delayed hemothorax between August 2003 to November 2010 was retrospectively analyzed. All patients had chest pain, difficult breathing in 14 cases (45％), heart rate increased in 19 patients (61％), fever in 16 cases (52％), abdomen pain in 3 patients (10％), and shock in 1 case (3％). Haemothorax was medium to massive and combined with pneumothorax in 9 cases. Twenty one patients received closed chest drainage, 4 recieved chest puncture to eliminate fluid, 5 were treated conservatively, and 1 had surgery for diaphragmatic hernia and hemorrhage.All patients recovered eventually. The key of diagnosis and treatment for delayed hemothorax is to take chest X-ray for patients with rib fractures in 2 to 9 days after chest trauma, and carefully observing the changes of chest signs, breathing, heart rate and body temperature.