88例严重胸部外伤并发胸腔感染的临床诊治.docVIP

88例严重胸部外伤并发胸腔感染的临床诊治 　　【摘要】 目的 探讨88例严重胸部外伤并发胸腔感染患者的临床诊治效果。方法 88例严重胸部外伤并发胸腔感染患者， 随机分为观察组及对照组， 各44例。两组患者均给予常规治疗， 观察组在常规治疗基础上行血必净注射液治疗。观察两组治疗结果、总结分析临床诊治有效方式。结果 治疗前， 两组体温（T）、呼吸频率（RR）、C反应蛋白（CRP）、白细胞（WBC）比较， 差异均无统计学意义（P0.05）；治疗后， 两组T、RR、CRP、WBC均明显改善， 且观察组改善效果明显优于对照组， 差异均具有统计学意义（P0.05）；观察组优良率97.73%（43/44）明显高于对照组的70.45%（31/44）， 差异具有统计学意义（P0.05）。结论 对严重胸部外伤并发胸腔感染患者使用血必净治疗， 效果较好， 值得临床推广使用。 　　【关键词】 严重胸部外伤；胸腔感染；临床诊治 　　DOI：10.14163/j.cnki.11-5547/r.2015.25.005 　　【Abstract】 Objective To investigate effect of clinical diagnosis and treatment of 88 severe chest trauma complicated with thoracic cavity infection cases. Methods A total of 88 patients of severe chest trauma complicated with thoracic cavity infection were randomly divided into observation group and control group， with 44 case in each group. Both groups received conventional treatment， and the observation group received additional Xuebijing injection for treatment. Curative effects of the two groups were observed for summarization and analysis of effective methods in clinical diagnosis and treatment. Results There were no statistically significant differences of temperature （T）， respiratory rate （RR）， C-reactive protein （CRP）， and white blood cell （WBC） between the two groups before treatment （P0.05）. After treatment， both groups had increased T， RR， CRP and WBC. The observation group had obviously better improvements than the control group， and their differences all had statistical significance （P0.05）. The observation group also had much higher good rate as 97.73% （43/44） than 70.45% （31/44） of the control group， and their difference had statistical significance （P0.05）. Conclusion Implement of Xuebijing for treating patients of severe chest trauma complicated with thoracic cavity infection contains precise effect. This method is worthy of clinical promotion and application. 　　【Key words】 Severe chest trauma； Thoracic cavity infection； Clinical diagnosis and treatment 　　胸部外伤并发胸腔感染在进行诊治时， 对胸部贯通伤以及来源于纵隔感染或者腹部感染外