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[胸腹部损伤的外科治疗]

[Surgical management of thoracic and thoraco-abdominal injuries].

作者信息

Mészáros Z, Keszler P

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1977;20(2):81-4.

PMID:17790
Abstract

From 1970 to 1974 407 patients with thoracic injuries have been treated by the authors in the 2nd Surgical and Thoracic Surgical Department of the "János" Hospital, Budapest--out of them 190 patients were classified as severely injured. The material and the operative technique in isolated thoracal and combined thoracal-abdominal injuries are discussed. The importance of the operative stabilization of the thoracic wall is emphasized and fixation of the thoracic wall by means of pericostal sutures is advocated, if because of the intrathoracal injury--just the same--thoracotomy is to be performed. On the basis of their experiences and because of the risk of late complications and of residues impairing the function in certain types of the thoracal injuries surgical treatment is advocated by the authors.

摘要

1970年至1974年期间,作者在布达佩斯“亚诺什”医院第二外科和胸外科治疗了407例胸部损伤患者,其中190例被归类为重伤。本文讨论了单纯胸部损伤和胸腹联合损伤的治疗材料及手术技术。强调了胸壁手术稳定的重要性,并提倡在因胸腔内损伤而必须进行开胸手术时,采用肋骨周围缝合固定胸壁。基于他们的经验,并且考虑到某些类型胸部损伤存在晚期并发症和功能残留损伤的风险,作者主张进行手术治疗。

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