Jones N S
Department of Thoracic Surgery, Royal Surrey County Hospital, Guildford, England.
Arch Emerg Med. 1989 Jun;6(2):97-106. doi: 10.1136/emj.6.2.97.
Two hundred and fifty patients with chest trauma admitted consecutively over a 6-year period to the Royal Surrey County Hospital were reviewed. This is a large series by British standards. The cause and nature of their chest and associated injuries were studied, together with the management, complications and outcome. The aim of this study was to find areas where diagnosis and treatment could be improved. It was found that where there was no lung contusion, flail chest injuries could be managed without ventilation. The review suggests that even small traumatically induced pneumothoraces should be drained. It illustrates the need for an awareness of the wide range of concurrent problems in patients with chest injuries and the variety of possible complications.
对在6年期间连续入住皇家萨里郡医院的250例胸部创伤患者进行了回顾性研究。按照英国的标准,这是一个大型病例系列。对他们胸部损伤的原因、性质以及相关损伤进行了研究,同时也探讨了治疗方法、并发症和治疗结果。本研究的目的是找出可以改进诊断和治疗的领域。研究发现,在没有肺挫伤的情况下,连枷胸损伤无需通气即可得到处理。该回顾性研究表明,即使是小的创伤性气胸也应进行引流。它说明了需要认识到胸部损伤患者存在的各种并发问题以及可能出现的各种并发症。