干旱区生态环境知识资源中心(Arid): 胸部穿透伤外露伤器拔除时机探讨

Arid

	胸部穿透伤外露伤器拔除时机探讨
其他题名	Critical moment to extract the penetrating foreign body with an exposed free end on the chest wall
	程邦昌; 高尚志; 黄杰; 胡浩; 毛志福; 林慧庆
来源期刊	中华创伤杂志
ISSN	1001-8050
出版年	2004
卷号	20 期号:9 页码:516-518
中文摘要	目的探讨胸部穿透伤外露伤器的最佳拔除时机.方法根据1280例胸部穿透伤中42例伤器外露的临床资料,结合观察西班牙斗牛过程的启示,探讨外露伤器最佳拔除时机.结果4例心脏穿透伤未拔除伤器者到达医院时均死亡;38例胸部穿透伤患者中外露伤器于手术前拔除者35例(92%)治愈.结论除胸部贯通伤外露伤器固定无移动者外,其他心脏、胸部盲管伤或胸腹联合伤外露伤器均宜尽早拔除.
英文摘要	Objective To evaluate the critical moment to extract the penetrating foreign body with an exposed free end on the chest wall. Methods In a group of 1 280 cases of penetrating wound of the chest, 42 had an exposed free end of foreign bodies including various kinds of knives and daggers on the chest wall. The data of 42 oases were analyzed retrospectively together with the enlightenment through observation of the ox - fighting in Spain and the critical moment to extract the foreign body with an exposed free end on the chest wall advocated. Results None of these four penetrating wounds of the heart with a retained mortal object survived. Among 38 cases of penetrating wound of the chest, 35 had their mortal object extracted before the induction of anesthesia and all healed, with a cure rate of 92%. Conclusion For eases of penetrating wound of the chest, all the foreign body with an exposed free end on the chest wall should be extracted as early as possible except for those with mortal object well fixed on the chest wall without any possibility of movement during the course of transference.
中文关键词	胸部损伤,穿透性 ; 异物 ; 拔除时机
英文关键词	Thoracic injuries, penetrating Foreign bodies Extraction
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1578787
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205813
作者单位	武汉大学人民医院心胸外科, 430060
推荐引用方式 GB/T 7714	程邦昌,高尚志,黄杰,等. 胸部穿透伤外露伤器拔除时机探讨[J],2004,20(9):516-518.
APA	程邦昌,高尚志,黄杰,胡浩,毛志福,&林慧庆.(2004).胸部穿透伤外露伤器拔除时机探讨.中华创伤杂志,20(9),516-518.
MLA	程邦昌,et al."胸部穿透伤外露伤器拔除时机探讨".中华创伤杂志 20.9(2004):516-518.