Chest trauma complicated with pneumothorax observation and nursing blood.docVIP

 PAGE \* MERGEFORMAT 4 Chest trauma complicated with pneumothorax observation and nursing blood [Abstract] chest trauma complicated by the blood of observation and nursing of pneumothorax, concluded: attention to dynamic observation, skilled emergency measures is the key to success, to improve the success rate has an important role. [Keywords:] chest trauma care and observation of the blood pneumothorax 1 Clinical data In 2009, we were treated blood pneumothorax caused by thoracic trauma in 78 cases, 38 males and 40 females, aged 6-68 years, mean 45 years. The causes of injury were: traffic accident in 18 cases, 27 cases of sharp injuries, falling from height injuries in 23 cases, 10 cases of crush injury, closed and 34 cases of thoracic trauma, open chest trauma in 44 cases, 20 cases of combined multiple rib fractures, 35 patients with significant dyspnea, hemoptysis in 10 cases, hemorrhagic 8 cases of shock. This group admission cured by a simple closed thoracic drainage in 58 cases, 20 cases of hospital surgical cure, hospitalization 16.7 days, no 1 died. 2 disease observed 2.1 The assessment of injured patients asked in detail about the history of injury through secondary inspection and to make comprehensive and correct assessment in order to make the right treatment program. 2.2 The close observation of ECG changes in vital signs and make records, such as patient awareness blurred by the clear, thin pulse, clammy skin, blood pressure continued to decline, rapid shallow breathing [1], suggesting that any errors hemorrhagic shock, and shall promptly notify the physician rescue. 2.3 whether the observed signs of abdominal muscle tension, tenderness, rebound tenderness. 2.4 to observe the incision wound observe whether there is further bleeding and whether or not the sound of the gas out of the incision to observe the trachea, the apex beat is displaced, with subcutaneous emphysema are observed changes, chest bandag