严重胸外伤致多发肋骨胸骨骨折早期内固定的应用分析.docVIP

严重胸外伤致多发肋骨胸骨骨折早期内固定的应用分析 　　【摘要】 目的：观察严重胸外伤致多发肋骨、胸骨骨折采用早期内固定的治疗效果。方法：选择2011年3月-2014年3月笔者所在医院收治的因严重胸外伤导致多发肋骨、胸骨骨折的患者80例，按照患者的入院顺序分为观察组和对照组，每组40例。观察组患者肋骨骨折采用记忆钛合金，胸骨骨折采用胸骨接骨板对患者进行治疗；对照组则采用传统的肋骨悬吊、加压包扎对患者进行保守治疗。将患者治疗前后的血气情况进行比较，观察患者住院治疗的情况。结果：两组患者治疗后PaO2均有明显的提高，PaCO2均有所减少，两组患者治疗前后的PaO2、PaCO2比较差异有统计学意义（P0.05）；且观察组患者治疗后的PaO2、PaCO2情况明显优于对照组，差异有统计学意义（P0.05）；观察组患者的机械通气时间、住院时间、肺部感染以及胸廓畸形等均少于对照组，差异有统计学意义（P0.05）。结论：采用早期内固定对严重胸外伤致多发肋骨、胸骨骨折的患者进行治疗，能有效减少患者的住院时间、ICU停留天数，对患者的肺部感染及胸廓畸形等治疗效果明显，值得临床上推广使用。 　　【关键词】 肋骨骨折； 胸骨骨折； 早期内固定 　　中图分类号 R683.1 文献标识码 A 文章编号 1674-6805（2015）9-0021-02 　　The Application Analysis of Early Fracture Fixation in the Treatment of Multiple Rib，Sternum Fracture Caused by Severe Thoracic Trauma/ZHOU Bo，HE Ming-xue.//Chinese and Foreign Medical Research，2015，13（9）：21-22 　　【Abstract】 Objective：To observe the effect of early internal fixation in the treatment of multiple rib，sternum fracture severe caused by serve thoracic trauma.Method：80 cases of severe chest trauma patients with multiple rib and sternum fracture were selected in our hospital from March 2011 to March 2014.According to the order of admission patients，they were divided into the observation group and the control group，each group of 40 cases.The observation group with rib fracture was used memory titanium alloy，sternum fracture was used sternal plate；the control group was used the traditional suspension，rib compression bandage for conservative treatment of patients.The blood gas before and after treatment were compared，observed the treatment of hospitalized patients.Result：After treatment the PaO2 in the two groups was significantly increased，PaCO2 was decreased，there were significant differences in the two groups before and after treatment（P0.05）；the PaO2，PaCO2 in the observation group after treatment were significantly better than those of the control group，the differences between the two groups were statistically significant（P0.05）；the mechanical ventilation time，patients hospitalization time