CAJ | 학술논문

目的：研究严重胸部外伤和复合性外伤的临床抢救与治疗模式。方法：严重胸部外伤和复合性外伤患者分为三组，对照组A第一时间吸氧并控制吸氧量，根据病情展开抢救并合理应用呼吸机；对照组B接诊后观察病情，判断呼吸状态后展开急救；观察组在对照组基础上加用接诊处理；比较三组疗效及生存评分。结果：观察组治愈率及死亡率均显著优于对照组A及对照组B（P<0.05）；观察组生存患者Fugl-Meyer及Barthel评分均显著高于对照组A及对照组B的生存患者（P<0.05）。结论：临床救治严重胸部外伤和复合性外伤患者应注重及时性与准确性，在保障患者正常呼吸的前提下针对性急救。
목적：연구엄중흉부외상화복합성외상적림상창구여치료모식。방법：엄중흉부외상화복합성외상환자분위삼조，대조조A제일시간흡양병공제흡양량，근거병정전개창구병합리응용호흡궤；대조조B접진후관찰병정，판단호흡상태후전개급구；관찰조재대조조기출상가용접진처리；비교삼조료효급생존평분。결과：관찰조치유솔급사망솔균현저우우대조조A급대조조B（P<0.05）；관찰조생존환자Fugl-Meyer급Barthel평분균현저고우대조조A급대조조B적생존환자（P<0.05）。결론：림상구치엄중흉부외상화복합성외상환자응주중급시성여준학성，재보장환자정상호흡적전제하침대성급구。
Objective:To study the clinical salvage and treatment of severe and compound thoracic trauma. Methods:Patients were divided into three groups, control group A firstly treated with oxygen and controlled the amount of oxygen, based on the condition rescued and reasonably applied venti-lator;control group B observed the condition after reception, started first-aid after judging the breathing state;based on control group observation group added reception processing;the curative effect and survival score of three groups were compared. Results:The cure rate and mortality of obser-vation group were significantly better than those of control group A and B (P<0.05);Fugl-Meyer and Barthel scores of survived patients of observa-tion group were significantly higher than those of control group A and B (P<0.05). Conclusion:Clinical treatment of severe and compound thoracic trauma should be in time and accurate, with first-aid under the premise of ensuring patients breathe normally.