切换至 "中华医学电子期刊资源库"

中华胸部外科电子杂志 ›› 2016, Vol. 03 ›› Issue (03) : 182 -186. doi: 10.3877/cma.j.issn.2095-8773.2016.03.11

所属专题: 文献

综述

创伤性连枷胸伴肺挫伤的诊疗进展
王庆淮1,(), 谭宁1, 蒙伟平1, 冯健1, 覃聪昕1, 简文靖1   
  1. 1. 537100 广西医科大学第八附属医院,广西贵港市人民医院胸心外科
  • 收稿日期:2016-02-01 出版日期:2016-08-28
  • 通信作者: 王庆淮
  • 基金资助:
    广西贵港市科学研究与技术开发计划项目(贵科攻201511001)

Progress in diagnosis and treatment of traumatic flail chest complicated with pulmonary contusion

Qinghuai Wang1,(), Ning Tan1, Weiping Meng1, Jian Feng1, Congxin Qin1, Wenjing Jian1   

  1. 1. Department of Cardiothoracic Surgery, The Eighth Affiliated Hospital of Guangxi Medical University, Guigang City People’s Hospital, Guigang 537100, China
  • Received:2016-02-01 Published:2016-08-28
  • Corresponding author: Qinghuai Wang
  • About author:
    Correponding author: Wang Qinghuai, Email:
引用本文:

王庆淮, 谭宁, 蒙伟平, 冯健, 覃聪昕, 简文靖. 创伤性连枷胸伴肺挫伤的诊疗进展[J/OL]. 中华胸部外科电子杂志, 2016, 03(03): 182-186.

Qinghuai Wang, Ning Tan, Weiping Meng, Jian Feng, Congxin Qin, Wenjing Jian. Progress in diagnosis and treatment of traumatic flail chest complicated with pulmonary contusion[J/OL]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2016, 03(03): 182-186.

创伤性连枷胸伴肺挫伤(FC-PC)是胸部急诊创伤中最常见的疾病,病情严重,早期容易出现急性呼吸窘迫综合征(ARDS)、急性呼吸衰竭等症状,后期容易出现肺部感染、脓胸形成等,治疗效果慢、住院时间长、费用高,若不能及时诊断及有效治疗,预后差。该文就近年来国内外在FC-PC的诊断、治疗和临床应用方面做一简要综述。

Traumatic flail chest complicated with pulmonary contusion(FC-PC) is commonly occurred in emergency of chest trauma, which may cause serious conditions. Symptoms like acute respiratory distress syndrome (ARDS) and acute respiratory failure may occur in the early stage, and others such as pulmonary infection and empyema formation may appear in the later stage. FC-PC treatment may be time-consuming, with longer duration of hospitalization and larger medical expense. Poor prognosis may incur without timely diagnosis and effective treatment. The progress in diagnosis and treatment of FC-PC both in China and abroad is reviewed in this paper.

[1]
PettifordBL,LuketichJD,LandreneauRJ.The management Offlail chest[J]. Thorac Surg Clin,2007,17(1):25-33.
[2]
BastosR,CalhoonJH,BaisdenCE.Flail chest and pulmonary comtusion[J].Semin Thorac Cardiovasc Surg,2008,20(1):39-45.
[3]
中华医学会创伤学分会交通伤与创伤数据库学组、创伤急救与多发伤学组.严重胸部创伤救治规范[J].中华创伤杂志,2013,29(5):385-390.
[4]
PaydarS,MousaviSM,AkerdiAT. Flail chest: are common defini-tion and management protocols still useful[J].Eur J Cardiothorac Surg,2012,42(1):192.
[5]
张君. 创伤性连枷胸的临床救治体会[J].中国医学创新,2011,30(8): 98-99.
[6]
贾忠伟. 创伤性连枷胸36例救治体会[J].河南职工医学院学报,2011,23(5):525-527.
[7]
OyetunjiTA,JacksonHT,ObiriezeAC,et al. Associated in-juries in traumatic sternal fractures: a review of the National Trauma Data Bank[J].Am Surg,2013,79(7):702-705.
[8]
TanakaH,YukiokaT,YamagutiY,et al.Surgical stabilization of internal pneumaticstabilization: a prospective ran-domized study of management of severe flail chest patients[J].J Trauma,2002,52(4):727-732.
[9]
GranetznyA,AbdM,EmamE,et al. Surgical versus con-servative treatment of flail chest: evaluation of thepulmo-nary status[J]. Interact Cardiovasc Thorac Surg,2005,4(6):583-587.
[10]
王立,张淼,贲晓松,等.对多发性肋骨骨折行经胸腔镜探查+内固定手术的探讨[J].实用医学杂志,2013,29(10):1714-1715.
[11]
张业强,胡涛,高小见,等 .爪形肋骨接骨板在多发性肋骨骨折内固定手术中的应用[J].中国胸心血管外科临床杂志,2012,19(5):533.
[12]
DivisiD,Di LeonardoG,CrisciR,et al. Surgical manage-ment of traumatic isolated sternal fracture and manubri-osternal dislocation[J].J Trauma Acute Care Surg,2013,75(5):824-829.
[13]
ParkJB,LeeHP,YooDG,et al. Fixation of traumatic ster-nal fractures using sterna lock plating system[J]. Korean JThorac Cardiovasc Surg,2013,46( 4) : 309-311.
[14]
ColemanFP,ColemanCL. Fracture of ribs: a logical treat-ment[J].Surg Gynecol Obstet,1950,90(2):129-134.
[15]
RichardsonJD,FranklinGA,HeffleyS,et al. Operative fixation of chest wall fractures: an underused procedure?[J].Am Surg,2007,73(6):591-597.
[16]
BalciAE,ErenS,CakirO, et al. Open fixation in flail chest: review of 64 patients[J]. Asian Cardiovasc Thorac Ann,2004,12(1):11-15.
[17]
AlthausenPL,ShannonS,WattsC,et al. Early surgical stabilizationof flail chest with locked plate fixation[J]. J Orthop Trauma,2011,25(11) : 641-647.
[18]
王庆淮. 创伤性连枷胸伴肺挫伤早期手术综合治疗的临床研究[J]. 中华肺部疾病杂志:电子版,2015,8(8): 94.
[19]
OyetunjiTA,JacksonHT,ObiriezeAC,et al. Associated in-juries in traumatic sternal fractures: a review of the Nation-al Trauma Data Bank[J]. Am Surg,2013,79 (7):702-705.
[20]
DivisiD,Di LeonardoG,CrisciR,et al. Surgical manage-ment of traumatic isolated sternal fracture and manubri-osternal dislocation[J]. J Trauma Acute Care Surg,2013,75(5):824-829.
[21]
ParkJB,LeeHP,YooDG,et al. Fixation of traumatic ster-nal fractures using sterna lock plating system[J].Korean J Thorac Cardiovasc Surg,2013,46(4): 309-311.
[22]
陈孝平,汪建平.外科学[M].8版.北京:人民卫生出版社,2013:261-262.
[23]
GjertsenJE,VinjeT,EngesaeterLB,et al. Internal screw fixationcompared with bipolar hemiarthroplasty for treatment of displacedfemoral neck fractures in elderly patients[J].J Bone Joint Surg Am, 2010,92(3):619-628.
[24]
NirulaR,DiazJJ Jr,TrunkeyDD,et al. Rib fracture repair:indications,technical issues,and future directions[J].World J Surg, 2009,33( 1) : 14-22.
[25]
GranetznyA,Abd El-AalM,EmamE, et al. Surgical ver-sus conservative treatment of flail chest: evaluation of thepulmonary status[J]. Interact Cardiovasc Thorac Surg, 2005,4(6):583-587.
[26]
王伟青,刘辉,楚晓,等.多发性肋骨骨折小切口内固定治疗疗效分析[J]. 中外医学研究,2013,11(24):195-196.
[27]
HasenboehlerEA,BernardAC,BottiggiAJ,et al. Treatment of trau-matic flail chest with muscular sparing open reduction and internal fix-ation: description of a surgical technique[J].J Trauma,2011,71(2):494-501.
[28]
汪方清,胡卫建,陈胜.镍钛记忆合金环抱形肋骨接骨板治疗无连枷胸多发肋骨骨折对呼吸功能的影响[J].安徽医药,2012,16(6):793-795.
[29]
许海平,洪剑平,陈刚,等.肋骨内固定方法治疗连枷胸的临床探讨[J].浙江创伤外科,2012,17 (6):757-758.
[1] 孙佳丽, 金琳, 沈崔琴, 陈晴晴, 林艳萍, 李朝军, 徐栋. 机器人辅助超声引导下经皮穿刺的体外实验研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 884-889.
[2] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[3] 刘世君, 马杰, 师鲁静. 胃癌完整系膜切除术+标准D2根治术治疗进展期胃癌的近中期随访研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 27-30.
[4] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[5] 常小伟, 蔡瑜, 赵志勇, 张伟. 高强度聚焦超声消融术联合肝动脉化疗栓塞术治疗原发性肝细胞癌的效果及安全性分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 56-59.
[6] 韩戟, 杨力, 陈玉. 腹部形态CT参数与完全腹腔镜全胃切除术术中失血量的关系研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 88-91.
[7] 王露, 周丽君. 全腹腔镜下远端胃大部切除不同吻合方式对胃癌患者胃功能恢复、并发症发生率的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 92-95.
[8] 孙一娇, 包润发, 董平, 束翌俊. PBL结合手术视频剪辑教学在普通外科专科医师规范化培训中的应用与思考[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 96-99.
[9] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[10] 孙莲, 马红萍, 吴文英. 局部进展期甲状腺癌患者外科处理[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 112-114.
[11] 康婵娟, 张海涛, 翟静洁. 胰管支架置入术治疗急性胆源性胰腺炎的效果及对患者肝功能、炎症因子水平的影响[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 667-670.
[12] 付成旺, 杨大刚, 王榕, 李福堂. 营养与炎症指标在可切除胰腺癌中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 704-708.
[13] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[14] 刘柏隆, 周祥福. 女性尿失禁吊带手术并发症处理的经验分享[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 127-127.
[15] 张耕毓, 唐冲, 张昆, 张辉, 张清华, 刘家帮. 股骨头坏死髓芯减压术的文献计量学分析及单中心病例报道[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 771-780.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?