胸膜腔内积血谓之血胸。创伤性血胸的发生率在胸部钝性伤中占25%~75%,在穿透性伤中占60%~80%。创伤性血胸的治疗旨在防治休克,及早清除胸膜腔积血以解除肺与纵隔受压和防止感染。
目的:总结创伤性血胸的治疗方法。
Objective: To summarize the experience of treatment of traumatic hemothorax.
目的:评估急诊超声检查在创伤性血胸诊断中的应用。
Objective:To evaluate thoracic ultrasound for the diagnosis of haemothorax in patients with thoracic trauma.
结论:胸腔引流术简单而有效,在治疗血胸中起着重要作用,仅有20 %的创伤性血胸病人需要剖胸手术。
Conclusion: Thoracic drainage is a simple and effective treatment method of traumatic hemothorax. Only about 20% patients require major thoracotomy.
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