Brotzu G, Montisci R, Pillai W, Sanna S
Istituto di Patologia e Chirurgia, Università di Cagliari, Italy.
Ann Chir Gynaecol. 1988;77(4):155-9.
A retrospective analysis is presented of 195 consecutive patients with chest trauma, hospitalized from 1976 to 1984 at the Institute of Pathology and Surgery of the University of Cagliari. The most frequent causes were traffic accidents. In 11 patients the trauma was penetrating while 184 presented with blunt trauma. Conservative treatment was performed in 106, pleural drainage or thoracentesis in 29, and surgery in 60. Early osteosynthesis was performed in the 22 patients with flail chest and in 15 with multiple depressed fractures. Total mortality was 4.1%, and 13.6% in patients with flail chest. All deaths were associated with significant extrathoracic injuries.
对1976年至1984年在卡利亚里大学病理与外科学研究所住院的195例连续胸部创伤患者进行了回顾性分析。最常见的原因是交通事故。11例为穿透性创伤，184例为钝性创伤。106例采用保守治疗，29例进行胸腔引流或胸腔穿刺，60例进行手术。22例连枷胸患者和15例多发性凹陷性骨折患者进行了早期骨固定。总死亡率为4.1%，连枷胸患者死亡率为13.6%。所有死亡均与严重的胸外损伤有关。
