Application memory alloy embracing the treatment of flail chest clinical analysis of 18 cases.docVIP

 PAGE \* MERGEFORMAT 6 Application memory alloy embracing the treatment of flail chest clinical analysis of 18 cases Of: Wang date, Wen-Bin Yang, Liao waves, Wei Guoping, Qin Xin, Zeng source [Abstract] The shape memory alloy embracing the treatment of flail chest in 18 cases, 16 cases in which the floating chest wall unilateral and bilateral cases were floating two cases of .18 significant improvement in breathing. After 2 weeks may be out of bed. After 1 months later in 1 case again without chest fracture displacement. After 8 to 18 months later chest radiograph, all fractures healed. [Keywords:] chest injury; flail chest; embracing fixator Flail chest is a common severe closed chest injury, and often with cardiopulmonary bruises, blood, pneumothorax and other damage. If a wider range of softening region in the breathing on both sides of the pleural cavity as the pressure imbalance in the mediastinum swing around to cause severe respiratory, circulatory dysfunction, the mortality rate can be as high as 20% to 50% [1,2]. in our hospital from January 2005 ~ December 2008, with the memory alloy plate in treatment of 18 patients with flail chest, to obtain more good effect. are as follows. Clinical data 1 GENERAL INFORMATION All 18 cases, male 12, female 6; aged 17 to 89 years (mean 65.5 + -12.5 years). 16 cases in which the floating chest wall unilateral, bilateral floating in 2 cases. 10 cases of road traffic injuries , 6 cases of crush injury, fall injury in 2 cases. closed injury in 16 cases, 2 cases of open injury. 5 patients with hemothorax, pneumothorax in 3 cases, 3 cases of pneumothorax blood. 2 surgical incision design: to prepare a fixed center of rib fractures obtained longitudinal incision, the incision length and the number of rib fractures according to fracture site may be. Exposed fracture, clear around the clot. If pleural tear, can result exploration into the chest, lung damage, as the volume of blood to clear the chest, lun