Clinical efficacy of key rib internal fixation combined with ventilator breathing for flail chest with lung contusion

doi:10.3877/cma.j.issn.2095-9133.2022.03.005

Abstract

Abstract:

Objective

To analyze the clinical effect of flail chest with traumatic wet lung treated with key rib internal fixation combined with mechanical ventilation.

Methods

Fifty patients with flail chest and traumatic wet lung admitted to the Department of cardiothoracic surgery of Xinyi people’s Hospital of Jiangsu Province from January 2014 to October 2015 were selected as the research objects, including 35 males and 15 females; The age ranged from 20 to 68 years, with an average of (43.40±2.40) years. All patients were treated with key rib internal fixation combined with mechanical ventilation. The changes of arterial blood gas indexes before and after treatment were compared, and the improvement of pain and respiration before and after treatment were evaluated in detail.

Results

Postoperative patients’ heart rate, respiratory rate, SBP, DBP and PaCO₂, PaO₂, pH indicators were better than before surgery, the difference was statistically significant (P<0.05); The re-examination of the 3-D CT image showed no complications of secondary laceration and mobile loosening, and all were fixed internally.

Conclution

For flail chest with traumatic wet lung patients, combined key rib internal fixation and mechanical ventilation treatment can improve the breathing cycle and promote the rehabilitation. It is worthy of clinical promotion.

Key words: Flail chest, Traumatic wet lung, Key rib internal fixation, Mechanical ventilation

Yawei Mao. Clinical efficacy of key rib internal fixation combined with ventilator breathing for flail chest with lung contusion[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2022, 08(03): 153-155.

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References 16

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时间	例数	P(次/min)	收缩压(mmHg)	舒张压(mmHg)	RR(次/min)
术前	50	114.78±12.34	83.29±8.53	65.48±5.47	28.56±3.12
术后72 h	50	85.27±7.54	142.86±14.38	76.82±9.13	16.23±5.24
t值		2.68	2.84	2.79	2.82
P值		<0.05	<0.05	<0.05	<0.05

时间	例数	P(次/min)	收缩压(mmHg)	舒张压(mmHg)	RR(次/min)
术前	50	114.78±12.34	83.29±8.53	65.48±5.47	28.56±3.12
术后72 h	50	85.27±7.54	142.86±14.38	76.82±9.13	16.23±5.24
t值		2.68	2.84	2.79	2.82
P值		<0.05	<0.05	<0.05	<0.05

时间	例数	PaCO₂(mmHg)	PaO₂(mmHg)	pH
术前	50	76.98±8.49	52.38±5.42	7.19±0.032
术后24 h	50	65.48±5.34	54.28±6.12	7.33±0.029
术后48 h	50	62.18±7.23	58.26±6.12	7.38±0.213
术后72 h	50	51.83±5.12^a	73.28±7.85^a	7.45±0.021^a

时间	例数	PaCO₂(mmHg)	PaO₂(mmHg)	pH
术前	50	76.98±8.49	52.38±5.42	7.19±0.032
术后24 h	50	65.48±5.34	54.28±6.12	7.33±0.029
术后48 h	50	62.18±7.23	58.26±6.12	7.38±0.213
术后72 h	50	51.83±5.12^a	73.28±7.85^a	7.45±0.021^a

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