探讨外科手术治疗重症胸部创伤的临床疗效.docVIP

探讨外科手术治疗重症胸部创伤的临床疗效 　　[摘要] 目的 探讨外科手术治疗重症胸部创伤的临床疗效。方法 该院2013年1月―2015年6月期间共纳入重症胸部创伤患者36例，该36例患者均实施肺保护通气及外科手术法治疗，回顾分析患者的基本资料及治疗结果。结果36例患者中，抢救成功者34例，所占比例为94.5%。剩余2例患者，分别因急性呼吸窘迫综合征及严重心肺感染而死亡。治疗后患者的气血分析值获得了明显的改善，患者平均住院时间为（19.8±3.5）d。 结论 肺保护通气结合外科手术治疗重症胸部创伤临床效果显著，可有效提高患者的抢救成功率，改善患者预后。 中国论文网 /6/view-7249540.htm 　　[关键词] 外科手术；重症胸部创伤；疗效 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0074-02 　　Study on Clinical Curative Effect of Surgical Operation in Treatment of Severe Thoracic Trauma 　　LI Zhen-nan 　　Thoracic Surgery， The First Affiliated Hospital of Nanyang Medical College， Nanyang， Henan Province， 473000 China 　　[Abstract] Objective To study the clinical curative effect of surgical operation in treatment of severe thoracic trauma. Methods 36 cases of patients with severe thoracic trauma treated in our hospital from January 2013 to June 2015 were selected and all patients were treated with lung protective ventilation and surgical operation， the patients basic data and treatment results were retrospectively analyzed. Results In the 36 cases of patients， 34 cases were rescued successfully， accounting for 94.5%，the other two cases died respectively due to acute respiratory distress syndrome and severe heart and lung infection， the qi and blood analysis value of the patients was obviously improved after treatment， the average hospitalized time of the patients was（19.8±3.5）d. Conclusion Lung protective ventilation combined with surgical operation in treatment of severe thoracic trauma has an obvious clinical effect， and it can effectively improve the patients rescue success rate and improve the patient’s prognosis. 　　[Key words] Surgical operation； Severe thoracic trauma； Curative effect 　　近年来，我国交通运输业及建筑业获得了迅猛的发展，但与此同时，也导致了车祸、高处坠落等不良事件发生率明显升高[1]。而车祸及高处坠落均可导致患者出现严重的胸部创伤，危及患者生命。且重症胸部创伤患者多合并支气管损伤、肺部损伤等，若不对其进行及时有效的治疗，致死率极高。对于送诊及时患者，通常需立即实施外科手术治疗[2]。但在临床研究中发现，单纯外科手术治疗患者致死率仍较高。而最为主要的死亡原因在于患者呼吸功能障碍，体内酸碱失衡。因此该院在治疗过程中，十分重视患者的呼吸情况，并全程对患者进行肺保护通气。在该研究中就外科手术治疗重症胸部创伤的疗效进行分析，现报道如下。