CAJ | 학술논문

目的评价胸部护板在治疗多发肋骨骨折合并局部反常呼吸患者中的作用.方法应用Chrisofix胸部护板对36例多根多处肋骨骨折合并局部反常呼吸的患者进行治疗,分析治疗效果.结果 36例患者中34例通过胸部护板等保守治疗治愈,2例行肋骨内固定手术治愈.所有患者在应用胸部护板前后进行疼痛强度量表评分,分别为(8.1±0.7)分和(5.2±0.5)分,差异有统计学意义(P＜0.01).7例患者出现护板周围皮肤水泡形成,注射器抽吸后用活力碘纱布覆盖,外加布制固定带固定,无患者因对护板过敏而终止治疗.结论胸部护板外固定治疗合并局部反常呼吸但不需要开胸探查的多发肋骨骨折效果良好,使用方便,价格便宜,值得在临床大力推广应用.
목적 평개흉부호판재치료다발륵골골절합병국부반상호흡환자중적작용.방법 응용Chrisofix흉부호판대36례다근다처륵골골절합병국부반상호흡적환자진행치료,분석치료효과.결과 36례환자중34례통과흉부호판등보수치료치유,2례행륵골내고정수술치유.소유환자재응용흉부호판전후진행동통강도량표평분,분별위(8.1±0.7)분화(5.2±0.5)분,차이유통계학의의(P＜0.01).7례환자출현호판주위피부수포형성,주사기추흡후용활력전사포복개,외가포제고정대고정,무환자인대호판과민이종지치료.결론 흉부호판외고정치료합병국부반상호흡단불수요개흉탐사적다발륵골골절효과량호,사용방편,개격편의,치득재림상대력추엄응용.
Objective To evaluate the effect of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing.Methods The clinical data of 36 patients with multiple rib fractures and focal abnormal breathing who were treated by Chrisofix chest backplate were analyzed.Results Thirtyfour patients were cured by chest backplate and other conservative treatments,and 2 patients underwent rib internal fixation surgery.The numeric rating scales scores before and after the application of the chest backplate were (8.1 ± 0.7) scores and (5.2 ± 0.5) scores respectively(P ＜ 0.01).Seven patients had skin blisters forming around the shield,which were cured by liquid extraction with a syringe and gauze covered with povidone iodine.No patients stopped treatment because of allergy.Conclusions Chest backplate is an effective,easy and inexpensive method for patient with multiple rib fractures and focal abnormal breathing who doesn't need exploratory thoracotomy.It is worthy to spread in clinical treatment.