多发性肋骨骨折伴创伤性湿肺65例诊治体会

王晓刚1 ，李建辉2，王宪文1 ，张维征1

（1.陕西省蒲城县医院普外科，陕西 渭南，715500；2.陕西省人民医院肿瘤科，陕西 西安，710068）

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摘要：

目的 探讨多发性肋骨骨折伴创伤性湿肺的诊断与治疗方法。方法 选择我院收治的65例多发性肋骨骨折伴创伤性湿肺病例，所有患者均通过拍X片及CT检查明确诊断并予以相应治疗，观察两组患者的诊断和治疗情况。结果 所有患者均在 伤后30 min~6 h内住院，65例均急诊拍片，并行CT检查，均发现多发性肋骨骨折并合并创伤性湿肺。除2例合并严重的颅 脑损伤死亡外，63例患者对症处理后均痊愈出院。结论 多发性肋骨骨折伴创伤性湿肺是最常见复合型损伤，病情重、合并症多，应及时进行X片及CT检查，明确诊断，并及时采用无创性呼吸机是提高治愈率，减少并发症的关键。

关键词：多发性肋骨骨折；创伤性湿肺；呼吸窘迫综合征

中图分类号：R683; R655.3文献标志码：A文章编号：2096-1413(2017)16-0076-02

Diagnosis and treatment of 65 cases of multiple ribs fracture combined with traumatic wet lung
WANG Xiao-gang 1, LI Jian-hui 2, WANG Xian-wen 1, ZHANG Wei-zheng 1
(1. Department of General Surgery, Pucheng People`s Hospital,Weinan 715500; 2. Department of Oncology, Shaanxi Provincial People`s Hospital, Xi`an 710068, China)

ABSTRACT: Objective To explore the diagnosis and treatment of multiple ribs fracture combined with traumatic wet lung. Methods Sixty five cases of multiple ribs fracture combined with traumatic wet lung in our hospital were selected. All patients were diagnosed by X -ray and CT examination and received the corresponding treatment, the diagnosis and treatment result of the patients in two groups were observed. Results All patients were hospitalized 30 min-6 h after injury, 65 cases were emergency film, parallel CT examination and were found in multiple ribs fracture combined with traumatic wet lung. Except 2 cases of severe craniocerebral injury died, 63 cases were cured after symptomatic treatment. Conclusion Multiple ribs fracture combined with traumatic wet lung is the most common compound injury disease, which has a heavy condition and more complications, it should be promptly use X-ray and CT examination to a clear diagnosis, timely use of noninvasive ventilator is the key to improve the cure rate and reduce the complications.
KEYWORDS: multiple ribs fractured; traumatic wet lung; respiratory distress syndrome

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