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对某地区胸外科中心250例胸部创伤患者的管理情况进行的一次审计。

An audit of the management of 250 patients with chest trauma in a regional thoracic surgical centre.

作者信息

Jones N S

机构信息

Department of Thoracic Surgery, Royal Surrey County Hospital, Guildford, England.

出版信息

Arch Emerg Med. 1989 Jun;6(2):97-106. doi: 10.1136/emj.6.2.97.

DOI:10.1136/emj.6.2.97
PMID:2742679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285577/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/089ce308afe0/archemed00022-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/b2c53420a295/archemed00022-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/d424592bc46d/archemed00022-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/be123c4b70a6/archemed00022-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/089ce308afe0/archemed00022-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/b2c53420a295/archemed00022-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/d424592bc46d/archemed00022-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/be123c4b70a6/archemed00022-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d149/1285577/089ce308afe0/archemed00022-0023-a.jpg

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本文引用的文献

1
First rib fractures: incidence of vascular injury and indications for angiography.
Surgery. 1981 Jan;89(1):42-7.
2
Selective management of flail chest and pulmonary contusion.连枷胸和肺挫伤的选择性处理
Ann Surg. 1982 Oct;196(4):481-7. doi: 10.1097/00000658-198210000-00012.
3
Chest injuries in a district general hospital.一家区综合医院的胸部损伤情况
Ann R Coll Surg Engl. 1982 Mar;64(2):117-20.
4
Selective use of ventilator therapy in flail chest injury.连枷胸损伤中呼吸机治疗的选择性应用。
J Thorac Cardiovasc Surg. 1981 Feb;81(2):194-201.
5
Causes of death after blunt chest injury.钝性胸部损伤后的死亡原因。
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Myocardial contusion associated with fracture of the sternum: important features of the seat belt syndrome.
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10
Thoracic epidural in the management of chest trauma. A study of 161 cases.胸段硬膜外阻滞在胸部创伤治疗中的应用。161例病例研究。
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