[胸部创伤：592例病例分析]

[Chest trauma: analysis of 592 cases].

作者信息

Tekinbaş Celal, Eroğlu Atilla, Kürkçüoğlu Ibrahim Can, Türkyilmaz Atila, Yekeler Erdal, Karaoğlanoğlu Nurettin

机构信息

Department of Thoracic Surgery Medical Faculty Ataturk University, Erzurum, Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2003 Oct;9(4):275-80.

PMID:14569484

Abstract

INTRODUCTION

Thoracic traumas constitute an important part of the patients who are being admitted to the emergency units and deaths due to trauma. The aim of this study was to compare our clinical experience and results of the literature.

METHODS

592 patients with thoracic trauma who were admitted to our clinic between 1996 and 2000 were evaluated retrospectively.

RESULTS

449 patients (75.8%) had blunt and 43 patients (24.2%) had penetrating thorax trauma. There was rib fracture in 448 patients (75.7%), clavicula fracture in 55 (9.2%), scapula fracture in 31 (5.2%) and sternal fracture in 20 (3.4%). In addition, flail chest was detected in 79 cases (13.3%). The most frequent complications were pneumothorax (n: 158; 26.7%), and hemothorax ( n: 119; 20.1% ). Three hundred and thirty - nine patients (57.2%) were treated by tube thoracostomy and 190 by conservative management (32.1%). Surgical treatment was performed in 99 (16.7%) patients. Morbidity was 18.4% ( n: 109 ) and mortality, 6.4% ( n: 38 ). Mean hospital stay time was 13.4 days (2 - 93 days).

CONCLUSION

Thoracic traumas can cause vital organ injuries and impaired cardio-respiratory hemodynamics should be treated immediately.

摘要

引言

胸部创伤是急诊收治患者以及创伤致死病例的重要组成部分。本研究旨在比较我们的临床经验与文献报道的结果。

方法

对1996年至2000年间收治于我院门诊的592例胸部创伤患者进行回顾性评估。

结果

449例患者（75.8%）为钝性胸部创伤，43例患者（24.2%）为穿透性胸部创伤。448例患者（75.7%）发生肋骨骨折，55例（9.2%）发生锁骨骨折，31例（5.2%）发生肩胛骨骨折，20例（3.4%）发生胸骨骨折。此外，79例（13.3%）患者出现连枷胸。最常见的并发症为气胸（n = 158；26.7%）和血胸（n = 119；20.1%）。339例患者（57.2%）接受胸腔闭式引流治疗，190例患者（32.1%）接受保守治疗。99例患者（16.7%）接受手术治疗。发病率为18.4%（n = 109），死亡率为6.4%（n = 38）。平均住院时间为13.4天（2 - 93天）。