钝性胸部创伤。515例患者的分析。
Blunt thoracic trauma. Analysis of 515 patients.
作者信息
Shorr R M, Crittenden M, Indeck M, Hartunian S L, Rodriguez A
出版信息
Ann Surg. 1987 Aug;206(2):200-5. doi: 10.1097/00000658-198708000-00013.
Abstract
A retrospective analysis of 515 cases of blunt chest trauma is presented. The overall thoracic morbidity rate was 36% and mortality rate was 15.5%. Atelectasis was the most common complication. Severe chest trauma can be present in the absence of rib or other thoracic bony fractures. Emergency thoracotomies for resuscitation of the patient with blunt chest trauma with absent vital signs proved unsuccessful in 39 of 39 patients. A high index of suspicion for blunt chest injury occurring in blunt trauma, coupled with an aggressive diagnostic and therapeutic approach, remains the cornerstone of treatment to minimize the morbidity and mortality of such injuries.
摘要
本文对515例钝性胸部创伤病例进行了回顾性分析。总体胸部发病率为36%，死亡率为15.5%。肺不张是最常见的并发症。严重胸部创伤可能在没有肋骨或其他胸部骨折的情况下出现。对39例钝性胸部创伤且无生命体征的患者进行急诊开胸复苏，结果均未成功。对于钝性创伤中发生钝性胸部损伤保持高度怀疑指数，同时采取积极的诊断和治疗方法，仍然是将此类损伤的发病率和死亡率降至最低的治疗基石。
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