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1、创伤性浮动胸壁治疗探讨Traumaticfloatingthoracicwa11therapyisdiscussedThe2009-04-18Thekingofguojintang,shangli,lishu-wenniuminSincefromJanuary1989toJune1999treatedtraumaticfloatingchestwall36cases,nowistheadoptionoffixedtherapyandfixedtherapyandmechanicalventilationtreatme
2、nttosummarize,thereportisasfollows:1dataandmethodsTherewere36casesofmenin36cases,5women,8yearsand62yearsofage,including26casesof16to55yearsofage,72.2percent,moreinyouthandyouth.35casesofclosedinjury,1caseofopeninjury.Therewere27casesofunilateralmultipleribfract
3、ures,15ofthemontheleft,12ontheright,and9inbothsides・Thepatienthasvariouslevelsofthoraciccollapsedeformity,withthebreathhavecontradictorymotion,breathingdifficulty,bloodphlegm,cyanosis,chestpain.Bloodgasanalysis,arterialoxygenpartialpressureshoweddifferentlevels
4、ofdecrease,Pa026.3kPa~10.0kPa・Thisgroupof36caseswithhemothoraxandpneumothorax,anddifferentdegreeofpulmonarycontusion,including21casesofhemoptysis,lowbreathsoundsorrale,Xrayfilmshowedunilateralorbilaterallungfieldinwidelyvaryingsizesheetflocculentshadow;Thereare
5、fourothercasesofrespiratorydistress,Pa02<8kPaforARDS・Sternalfracturein4cases,6casesofscapulafracture,6casesofclaviclefracture,bronchialinjuryin2cases,splenicruptureorspleenhematomain4cases,2casesofrenalcontusion,thoracicinjuryin1case,6patientswithcraniocerebral
6、injury,pelvis,and8casesoflimbsfracture・Traumaticasphyxiation3,shock9.Treatmentandoutcometreatment:thesmallbandoffloatingthoracicwallwasfixedwithtopicalcompressionofthechest,andthebackinjuredwerenotfixed・Largescalefloatingthoracicwall,obviouslyabnormalbreathingm
7、ovementtowelc1ampslidingtraction,somesimultaneouslymakethetracheacutupthephlegm,supplyoxygen,anti-shocktreatment・Thethoracicbronchotomywasdonewith2casesintheribsand4casesofpulmonarypatchingorsphenectomy.Thethoraciccloseddrainage29cases,splenectomyorrepair3cases
8、・Threecasesweretreatedwithmechanicalventilation.Results:34caseswerecured;Death2cases,1deathfrommultiplemultipleribfractures,severepulmonarycontusion,respiratoryfailure,cardi
