[1]徐遵礼,张前兴,朱建平,等.记忆合金环抱器治疗多发肋骨骨折合并急性呼吸衰竭的临床疗效分析[J].医学研究与战创伤救治(原医学研究生学报),2019,21(5):474-477.[doi:10.3969/j.issn.1672-271X.2019.05.006]
XU Zun-li,ZHANG Qian-xing,ZHU Jian-ping,et al.The clinical effects of memory alloy embracing fixator on the treatment of multiple rib fractures with acute respiratory distress syndrome[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(5):474-477.[doi:10.3969/j.issn.1672-271X.2019.05.006]
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记忆合金环抱器治疗多发肋骨骨折合并急性呼吸衰竭的临床疗效分析(
)
XU Zun-li,ZHANG Qian-xing,ZHU Jian-ping,et al.The clinical effects of memory alloy embracing fixator on the treatment of multiple rib fractures with acute respiratory distress syndrome[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(5):474-477.[doi:10.3969/j.issn.1672-271X.2019.05.006]
)《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]
- 卷:
- 第21卷
- 期数:
- 2019年5期
- 页码:
- 474-477
- 栏目:
- 临床研究
- 出版日期:
- 2019-09-06
文章信息/Info
- Title:
- The clinical effects of memory alloy embracing fixator on the treatment of multiple rib fractures with acute respiratory distress syndrome
- 文章编号:
- 1672-271X（2019）05-0474-04
- Keywords:
- multiple rib fractures; acute respiratory distress syndrome; internal fixation operation; memory alloy embracing fixator
- 分类号:
- R683.1；R563.8
- 文献标志码:
- A
- 摘要:
-
目的 探讨记忆合金肋骨环抱器内固定术治疗多发肋骨骨折合并急性呼吸衰竭（ARDS)患者的疗效和安全性。 方法 回顾性分析2012年8月至2018年3月解放军第九四六医院收治的58例多发肋骨骨折合并ARDS患者临床资料，其中行记忆合金肋骨环抱器内固定术34例患者为环抱器组，行保守治疗24例患者为对照组。比较2组机械通气时间、重症监护时间、住院时间、肺不张和肺部感染发生率、病死率、胸廓畸形率等指标。 结果 环抱器组34例手术均成功，内固定手术时间平均为（54.4±14.9）min。环抱器组患者机械通气时间[(3.5±1.8)d]、重症监护时间[(4.5±1.9)d]、住院时间[(20.6±4.5)d]均少于对照组[(7.5±2.6)d、(9.4±3.5)d、(28.1±5.5)d]，气管切开率(5.9%)、肺不张率(5.9%)、肺部感染率(11.8%)、病死率(0)和胸廓畸形率(2.9%)均低于对照组(25.0%、58.3%、62.5%、16.7%、50.0%)，差异均有统计学意义（
P <0.05）。环抱器组无死亡病例，对照组死亡4例，其中2例死于ARDS、2例死于严重肺部感染及全身多器官功能衰竭。 结论 记忆合金肋骨环抱器内固定术治疗多发肋骨骨折并ARDS患者安全、有效。
- Abstract:
-
Objective To evaluate the efficacy and security of memory alloy embracing fixator on the treatment of the multiple rib fractures with acute respiratory distress syndrome. Methods A total of 58 patients with multiple rib fractures and acute respiratory distress syndrome in the 946th hospital from August 2012 to March 2018 were divided into two groups, in the embracing fixator group,34 subjects who had undergone internal fixation operation with memory alloy embracing fixator; in the control group,24 subjects who had undergone conservative treatment. Compared mechanical ventilation time，time in the ICU，hospital stay, incidence of atelectasis and pulmonary infection, mortality, chest deformity in patients of both groups. Results Of all the 34 cases in observation group, surgeries were succeeed. The mean of operation time was （54.4±14.9）min. The mean of mechanical ventilation time[ (3.5±1.8)d],the mean time in the ICU[(4.5±1.9) d],the mean hospitalization time[ (20.6±4.5)d] of the embracing fixator group were less than those of the control group[(7.5±2.6)d,(9.4±3.5) d,(28.1±5.5)d],tracheotomy rate(5.9%),pulmonary immobilization rate(5.9%).The incidences rate of pulmonary infection rate(11.8%),mortality rate(0) and the incidences rate of chest deformity (2.9%) were lower than those of the control group(25.0%,58.3%,62.5%,16.7%,50.0%),The differences were statistically significant(
P <0.05). There were no deaths in the embracing fixator group and 4 deaths in the control group, of which 2 were due to ARDS and 2 to severe lung infection and systemic multiple organ failure. Conclusion Internal fixation operation with memory alloy embracing fixator could be safe and efficiency for the treatment of multiple rib fractures with acute respiratory distress syndrome.
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相似文献/References:
[1]王明元,林雨冬,王剑平,等.应用克里索菲克斯胸部护板治疗多发肋骨骨折临床观察[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):536.
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- 备注/Memo:
- 收稿日期：2018-12-26
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