严重胸外伤肋骨骨折和胸腹脏器伤的关系研究.pdfVIP

西部医学 2016 年 8 月第 28 卷第 8 期 Med J West China , August 2016 , Vo l. 28 ,No. 8 • 1097 • ·论著· 严重胸外伤肋骨骨折和胸腹脏器伤的关系研究 徐降兴王永红唐金绍 (解放军第丸二医院普外科，福建南平 353000) E摘要】 目的 对胸外伤肋骨骨折数部位和胸Jl脏器伤的关系进行分析，为临床诊断提供可靠依据。方法 以我 院 2010 年 10 月 -2013 年 12 月收治的 180 例外伤所致肋骨骨折患者作为研究对象，对其骨折房、四、骨折数量、骨折分 布、创伤严重程度评分(lSS 评分) ，以及胸腹脏器损伤情况进行分析.结果 不同骨折区域、骨折数量、骨折分布以及 ISS 评分患者在胸腹部脏器损伤的分布具有明显差异性(PO. 05). 结论 胸外伤患者肋骨骨折区域、数量、左右分布 以及创伤严重程度均与是否并发胸Jl部脏~损伤及其分布密切的相关。其中脏器损伤中以蹄为主，其次为牌、肝、肾，且 损伤机率可能与损伤程度及肋骨骨折数量有关。临床可以此作为判断患者病情、进行针对性检查以及临床治疗的依据， 以提高临床诊治效率. E关键词】 胸外伤;肋骨骨折;脏器损伤 E申图分类号】 R 683. 1 [文献标志码1 A 创: 10. 3969/j. issn. 1672-351 1. 2016.08.015 The relationship research of fractured ribs and chest injury in patients with severe chest trauma XU Jiangxing (Department of General Surgery. Nanping 92 Hospítal of PLA. NanPing 353000 , Fujian. China) [Abstractl 0时ective To research and analysis the relationship of the number and place of fractured ribs and chest injury in patients with severe chest trauma. Metbods 180 patients with rib fracture treated in our hospital from October 2010 to December 2013 were selected as the research objects. The fracture reason , fracture number , fracture distribu tion. the injury severity score (lSS score) and chest viscera damage were observed. Results Distribution of different fractures region , fractures number , fracture distribution and ISS score of fracture patients on the chest viscera damage had obvious differences (PO. 0日. The viscera damage was given priority to damage with lung , followed by the spleen. liver and kidney , and dama