Flail chest with pulmonary contusion surgery fixed-fixed and non-clinical study of surgery.docVIP

 PAGE \* MERGEFORMAT 16 Flail chest with pulmonary contusion surgery fixed-fixed and non-clinical study of surgery Of: Wang Changchun, DISASTER PREVENTION, Xuanhao Jun, Huang Lijian, Peng Ye, Mao Weimin [Abstract] Objective To compare the traumatic pulmonary contusion associated with flail chest bandaged ribs traction and surgical treatment of internal fixation. Methods Retrospective analysis of this legislation Palit Hospital, Zhejiang Province from 2000 to 2009, 46 patients were treated flail chest The clinical data with pulmonary contusion. treatment groups: A group (traction group) 12 cases, B group (dressing treatment group) 13 cases, C group (surgical fixation group) 21 cases. C group treatment guidelines included in the downlink thoracoscopy bleeding, lung repair and surrounded by memory alloy ribs and internal fixation with bone. Comparison of 3 therapeutic methods ventilator support, the mechanical ventilation time, ICU time, the incidence of pneumonia 3 days after injury and pain index, mortality and other indicators to P lt;0.05 as statistically significant difference. The results compared with the A group, B group required mechanical ventilation rate increased (P lt;0.05), increased incidence of lung infection (P lt;0.05), mechanical ventilation time, ICU hospital stay, mortality, pain scores were not statistically different (Pgt; 0.05); C group required mechanical ventilation and mortality rate was no significant difference (Pgt; 0.05), shorter duration of mechanical ventilation (P lt;0.01), ICU shorter stay in hospital (P lt;0.01), pulmonary infection rate reduced (P lt;0.05), pain index decreased (P lt;0.05). Conclusion flail chest rib fracture fixation can quickly stabilize the chest wall and improve the flail chest on respiratory function impact, reducing ventilation time, ICU length of stay and lung infection, reduce pain, to shorten the course, but no effect on mortality. In general, surgical fixation and dressing better than the tracti