316 cases of penetrating thoracic trauma treatment and prevention of common mistakes.docVIP

 PAGE \* MERGEFORMAT 13 316 cases of penetrating thoracic trauma treatment and prevention of common mistakes Author: Lan Lin Hung Kai Ping Chen Zhaohui Cai Yuanhui Friends Keywords: to prevent mistakes in penetrating chest injury The cause of death in trauma and chest injuries after traumatic brain injury, ranking No. 2. With the deepening of basic research, resuscitation and other skill levels progress, the success rate of treatment of chest trauma has been significantly improved. However, the clinical practice, there are still a few cases, due to mistakes in diagnosis and treatment, leading to where the quality is not high, prolonged hospitalization and medical expenses, and even death. To this end, the authors review the treatment of penetrating thoracic trauma pitfalls, analyze cause of the error, pointing out that the factors that errors may occur, the report is as follows. . A clinical data From May 1988 to May 2007 our hospital treated 316 cases of penetrating chest injuries, of which 252 cases of male and female 64 cases; aged 10 to 71 years, with an average (22 ± 2.8) years of age. 35 cases of gunshot wounds, shrapnel injuries in 65 cases, 171 cases of stab wounds, the other 45 cases of sharp injuries. 316 cases of thoracic injuries, including 62 cases of pneumothorax times, 125 cases of hemothorax times hemopneumothorax 129 cases times, 12 cases of bilateral injury. Diaphragmatic injury in 28 cases. 22 cases of cardiac injury, mediastinal great vessel injury in 2 cases. The whole group with head, abdominal organ injuries and many other parts of 79 cases (35.0%). In this group of cases, that is mediastinal shift on admission, shock, suspected tension pneumothorax or hemothorax are those that have a large number of closed thoracic drainage. Condition is still stable and, according to X-ray examination to determine, gas and chest is compressed ≥ 20% or hemothorax after the ultra-7th rib, do closed thoracic drainag