Fixed operation of multiple rib fraotures in chest trauma
10.3760/cma.j.issn.1001-4497.2014.01.004
- VernacularTitle:同期肋骨内固定手术治疗胸外伤合并多发肋骨骨折
- Author:
Tiequan SUI
;
Zhiwei ZHANG
;
Yang YANG
;
Tao YANG
;
Hongsheng TENG
;
Xiuqiang ZHANG
- Publication Type:Journal Article
- Keywords:
Thoracic injuries;
Rib fractures;
Thoracic surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(1):14-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective Summarize and analyze surgical treatment experience and clinical application value for severe chest trauma with multiple rib fractures (which has a positive rate of occurrence),the treatment method is to surgically fix titanium plate to ribs at the early stage of the fractures.Methods Adopted 161 severe chest trauma cases require thoracotomy from June,2007 to June,2012.The patients were arranged as two groups according to the doctor's requirements by our fulltiem horses.79 cases of normal thoracotomy operations were recorded as control group ; at the same period 82 cases thoracotomy operation with ribs internally fixed treatment were recorded as the group of internal plate fixing treatment group.Then compare the results of postoperative paradoxical respiration,oxygen concentration,lung function,chest drainage,length of stay and others after operations.Results The treatment results include oxygen saturation of blood,lung function,and length of stay,the complication rate and death rate.The results of ribs intemafly fixed group are better than the control group on average.Conclusion Apply internal plate fixing operation to ribs during the thoracotomy will effectively control thoracic paradoxical respiration and prevent respiratory failure,improve lung function,reduce death rate of chest trauma and the complication and be helpful for rapid recovery.
