CAJ | 학술논문

目的：总结肋骨内固定在胸部创伤治疗多发性肋骨骨折中的应用经验。方法：56例胸部创伤多发性肋骨骨折，在气管插管全身麻醉下分离骨折断端，应用钛镍记忆合金环抱器，在冰水中将环抱器臂部张开并根据肋骨弧度塑形，迅速将其置于已经整复的骨折端上方，用热生理盐水（40℃~50℃）湿敷，使环抱器紧缩，紧紧环抱骨折端，固定肋骨。结果：本组无死亡病例，肋骨内固定后术前有呼吸困难的明显好转，出现急性呼吸窘迫综合症（ARDS）均顺利脱离呼吸机辅助呼吸，均痊愈出院。结论：应用钛镍记忆合金环抱器进行肋骨内固定对治疗胸部创伤，手术操作简单，时间短，效果确切，出现急性呼吸窘迫综合症的均能顺利脱离呼吸机，术后呼吸功能恢复快，缩短住院时间。
목적：총결륵골내고정재흉부창상치료다발성륵골골절중적응용경험。방법：56례흉부창상다발성륵골골절，재기관삽관전신마취하분리골절단단，응용태얼기억합금배포기，재빙수중장배포기비부장개병근거륵골호도소형，신속장기치우이경정복적골절단상방，용열생리염수（40℃~50℃）습부，사배포기긴축，긴긴배포골절단，고정륵골。결과：본조무사망병례，륵골내고정후술전유호흡곤난적명현호전，출현급성호흡군박종합증（ARDS）균순리탈리호흡궤보조호흡，균전유출원。결론：응용태얼기억합금배포기진행륵골내고정대치료흉부창상，수술조작간단，시간단，효과학절，출현급성호흡군박종합증적균능순리탈리호흡궤，술후호흡공능회복쾌，축단주원시간。
Objective:Tosummarizeinternalfixationofmulti-fracturesofribsafterchesttrauma.Methods:56pa-tients underwent separation on both sides of the ribs stump under trachea cannula anesthesia. The holder of titanium-nickelalloyswassoftenedinicedwater.Thenthearmofholderwasstretchedandpacedwithhotwater(40℃-50℃), andtheholderresumeditsoriginalshapequicklyandfracturedribwasfixed.Results:Nopatientsweredead.Thepa-tients of dyspneatookaturnforthebetterafterinternalfixation.ThepatientofARDSbrokeawayfromventilatorfavourably.Allpatientswerecured.Conclusion:Itiseasytooperateinternalfixationofmulti-fracturesofribsoftheholderoftitanium-nickelalloys.Theoperationtimeisshortandtheeffectisexact.Itisespeciallyusefulinmultipleribfractures,whichcanbreakawayfromventilatorofthepatientofARDS,quickenrecoveryinposoperativerespira-tion and shortentheperiodofhospitalstay.