局解手术学杂志2018，Vol.27Issue(1)：36-39,4.DOI:10.11659/jjssx.10E017044
手术与机械通气治疗连枷胸效果比较
Comparison of surgical and mechanical ventilation for flail chest
摘要
Abstract
Objective To compare the efficacy of surgical treatment(ST) and mechanical ventilation treatment(MVT) for flail chest.Methods From March 2013 to May 2017,81 patients with flail chest who underwent ST(28 cases) and MVT(53 cases) were enrolled in ICU.The relevant indicators of efficacy were compared including mechanical ventilation (MV) time,bed rest time,oxygen administration time,catheterization time,antibiotic use time,drug analgesia,drug analgesia patients,proportion of stop/postoperative sputum alone,ICU treatment time,hospital stay,mortality,readmission within two months and long-term pulmonary function after discharge.Results The MV time,bed time,oxygen time,antibiotic use time,ICU treatment time and hospitalization time of MVT were longer than those of ST group,the differences were significant(P ＜ 0.05).MVT had more analgesic times,more analgesic cases,smaller proportion of offline/postoperative sputum along and less hospitalization fees compared with ST group,the differences were significant(P ＜0.05).There was no significant difference in the main indexes of pulmonary function between two groups in 3 months after discharge.Conclusion ST and MVT respectively has advantages and disadvantages for flail chest.There is no significant difference in long-term pulmonary function of ST and MVT.While MVT has less trauma and lower cost.The appropriate treatment could be selected according to the clinical situation.关键词
连枷胸/手术治疗/机械通气/胸部创伤Key words
flail chest/surgery treatment/mechanical ventilation treatment/thoracic trauma分类
医药卫生引用本文复制引用
申永,向怒涛,阚奇伟,叶雪梅,江安平,肖红萍..手术与机械通气治疗连枷胸效果比较[J].局解手术学杂志,2018,27(1):36-39,4.基金项目
四川省眉山市科技局立项课题 （）
