胸外伤的管理：阿伯塔巴德阿尤布教学医院的经验

Management of thoracic trauma: experience at Ayub Teaching Hospital, Abbottabad.

作者信息

Khan Ishtiaq Ali, Ghaffar Salma, Asif Saadia, Asad Shawana, Ahmed Ehtisham, Ahmed Wasim, Asif Zeeshan

机构信息

Cardiothoracic Surgery Unit, Ayub Teaching Hospital, Abbottabad, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2009 Jan-Mar;21(1):152-4.

PMID:20364767

Abstract

BACKGROUND

The incidence of thoracic trauma has rapidly increased in this century of high speed vehicles, violence and various other disasters. It has been observed that chest intubation was required in more than 75% of patients.

METHODS

This prospective study was performed in cardiothoracic surgery unit of Ayub Teaching Hospital Abbottabad from Jun 2007 to Dec 2007. A total of 114 consecutive patients with chest trauma were included in the study, their patterns of injuries classified, treatment strategies and outcome were recorded on a proforma.

RESULTS

Out of 114 patients with chest trauma, 76 (66.65%) were having penetrating and 38 (33.33%) had blunt trauma. Haemothorax was detected in 67 (58.77%), Pneumothorax in 23 (20.17%), rib fracture in 11 (15.02%) and diaphragmatic injuries in 4 (3.5%) cases. Overall complication rate was 14%. Wound infection was present in 8 (7.01%) and empyema in 4 (3.5%). Mortality was 2.6%.

CONCLUSION

Penetrating chest injuries were more common than blunt injuries and chest intubation with resuscitation was adequate in most of the patients.

摘要

背景

在这个高速车辆、暴力及各种其他灾害频发的世纪，胸外伤的发生率迅速上升。据观察，超过75%的患者需要进行胸部插管。

方法

这项前瞻性研究于2007年6月至2007年12月在阿伯塔巴德阿尤布教学医院心胸外科进行。共有114例连续性胸部创伤患者纳入研究，对他们的损伤类型进行分类，并在一份表格上记录治疗策略及结果。

结果

114例胸部创伤患者中，76例（66.65%）为穿透伤，38例（33.33%）为钝性伤。67例（58.77%）检测到血胸，23例（20.17%）气胸，11例（15.02%）肋骨骨折，4例（3.5%）膈肌损伤。总体并发症发生率为14%。8例（7.01%）出现伤口感染，4例（3.5%）出现脓胸。死亡率为2.6%。