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To investigate diagnosis, causes and treatment of traumatic clotted hemothorax.

目的 探讨外伤性凝固性血胸的诊断、发生原因及治疗方法。

Compared the abnormal level of the coagulant index between 24 hours and 72 hours group.

入院、24 h、72 h将各组血胸的凝血指标异常发生情况进行比较。

Objective To evaluate the effect of video-assisted thoracoscopic surgeryand video-assisted minithoraco-tomy surgeryon diagnosis and treatment of traumatic euplastic hemothorax.

目的 探讨外伤性机化性血胸的病因、手术适应证及电视胸腔镜手术和电视胸腔镜小切口手术在诊治中的作用。

Methods Retrospective study was con-ducted on28cases of euplastic hemothorax caused by trauma as well as the curative effect of video-assisted thoracoscopic surgery.

回顾总结28例因外伤导致的机化性血胸的病因以及胸腔镜治疗的手术方法和疗效。

The important causation of traumatic euplastic hemothorax is unsuitable disposal of severe complex injury in early period.

重度复合伤早期处理不当是外伤性机化性血胸的重要病因。

Methods Analysis was conducted on the surgical and peroperative treatment of 21 patients of massive hemothorax.

总结21例严重创伤性血胸患者的手术治疗过程及围手术期处理方法。

It is also reliable to diagnose non-traumatic hemothorax by chest CT.

我们认为使用胸部的电脑断层扫瞄检查对於非外伤性血胸是可靠的。

Methods ① Divided 126 cases into three groups: a little amount, medium amount and the large amount, according to the bleeding volume of acute traumatic hemothorax.

目的 探讨急性创伤性血胸患者的凝血功能变化特点及与出血量严重程度、预后的关系。

Detected the levels of plasma prothrombin time, active part plasma prothrombin, Fibrinogen, and thrombocyte at patients registered the hospital, after 24 hours and 72 hours respectively, and compared with the healthy control group.

①将126例急性创伤性血胸患者分为小量、中量、大量3组,测定患者入院当时、24 h、及72 h的血浆凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原、血小板值,并与43例健康对照组比较。

Results CT scans clearly showed lung contusions in 117,lung laceration and haematoma in 19,atelectasis in 24, haemothroax in 67, pneumothorax in 45, hemopneumothorax in 52, mediastinum haematoma in 7, pneumomediastinum in 8,pneumoderma in 25, diaphragmatic hernia in 17, fracture of rib in 103, and flail chest in 34 fractures.

结果诊断肺挫伤117例,肺挫裂伤及肺内血肿19例,肺不张24例,血胸67例,气胸45例,血气胸52例,纵隔血肿7例,纵隔积气8例,皮下气肿25例,膈疝17例,肋骨骨折103例,连枷胸34例。143例(84.1%)经非手术处理,其中43例行胸腔闭式引流术,22例行机械呼吸支持。

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