CAJ | 학술논문

目的总结重症胸外伤合并多发肋骨骨折早期应用钛板肋骨固定手术治疗的诊治经验和临床效果.方法 2007年6月至2012年6月,需开胸探查的重症胸外伤患者161例,动态均衡随机化法分为两组:对照组79例常规开胸手术；肋骨内固定组82例开胸同期行肋骨内固定.比较两组术后反常呼吸、血氧饱和度、肺功能、胸腔引流、住院时间等指标.结果肋骨内固定组术后血氧饱和度、肺功能、住院时间、并发症发生率、病死率等均优于对照组.结论剖胸探查同期行肋骨内固定手术,可有效控制胸壁反常呼吸,纠正呼吸衰竭,改善肺功能,减少胸外伤患者并发症和病死率,利于患者病情恢复.
목적 총결중증흉외상합병다발륵골골절조기응용태판륵골고정수술치료적진치경험화림상효과.방법 2007년6월지2012년6월,수개흉탐사적중증흉외상환자161례,동태균형수궤화법분위량조:대조조79례상규개흉수술；륵골내고정조82례개흉동기행륵골내고정.비교량조술후반상호흡、혈양포화도、폐공능、흉강인류、주원시간등지표.결과 륵골내고정조술후혈양포화도、폐공능、주원시간、병발증발생솔、병사솔등균우우대조조.결론 부흉탐사동기행륵골내고정수술,가유효공제흉벽반상호흡,규정호흡쇠갈,개선폐공능,감소흉외상환자병발증화병사솔,리우환자병정회복.
Objective Summarize and analyze surgical treatment experience and clinical application value for severe chest trauma with multiple rib fractures (which has a positive rate of occurrence),the treatment method is to surgically fix titanium plate to ribs at the early stage of the fractures.Methods Adopted 161 severe chest trauma cases require thoracotomy from June,2007 to June,2012.The patients were arranged as two groups according to the doctor's requirements by our fulltiem horses.79 cases of normal thoracotomy operations were recorded as control group ; at the same period 82 cases thoracotomy operation with ribs internally fixed treatment were recorded as the group of internal plate fixing treatment group.Then compare the results of postoperative paradoxical respiration,oxygen concentration,lung function,chest drainage,length of stay and others after operations.Results The treatment results include oxygen saturation of blood,lung function,and length of stay,the complication rate and death rate.The results of ribs intemafly fixed group are better than the control group on average.Conclusion Apply internal plate fixing operation to ribs during the thoracotomy will effectively control thoracic paradoxical respiration and prevent respiratory failure,improve lung function,reduce death rate of chest trauma and the complication and be helpful for rapid recovery.