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[多根肋骨骨折患者锁骨骨折内固定手术的麻醉支持]

[Anesthesiological support of surgical intervention on clavicular osteosynthesis in patients with multiple rib fractures].

作者信息

Kuchyn Iu L

出版信息

Klin Khir. 2013 Dec(12):58-60.

Abstract

In 162 patients, operated on for isolated or combined thoracic trauma with multiple fractures of ribs and clavicle, the results of treatment were compared, depending on the anesthesiological support applied. In 18 (11.1%) patients nosocomial pneumonia have had occurred, in 64 (40.0%)--a respiratory support was applied, in 84 (51.8%)--bronchofibroscopy. Application of regional anesthesia have permitted to reduce the respiratory complications rate as well as the necessity for respiratory support and the patients stay in the intensive care unit.

摘要

对162例因单纯或合并胸部创伤伴有多根肋骨和锁骨骨折而接受手术的患者,根据所采用的麻醉支持方式比较治疗结果。18例(11.1%)患者发生了医院获得性肺炎,64例(40.0%)——采用了呼吸支持,84例(51.8%)——采用了支气管纤维镜检查。采用区域麻醉能够降低呼吸并发症发生率以及呼吸支持的必要性,并缩短患者在重症监护病房的住院时间。

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