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- W2361776010 abstract "Objective To investigate the therapeutic strategies,decrease the damage of pulmonary function and improve survival rate for severe chest trauma with flail chest.Methods The 35 patients with severe chest trauma and flail chest,admitted from Feb.1991 to Dec.2008 in Chongqing Emergency Medical Center,were retrospectively analyzed.The patients were divided into conservative treatment group(13 cases) and surgical internal fixation group(22 cases).Results The survival rate was 97.1%(34/35).One case died of MOSF in conservative treatment group.There was no statistical difference in the value of ISS and the number of fractured ribs in both sides(25.7±6.9 vs 29.8±8.5;11.8±3.5 vs 9.8±1.8)(P 0.05,0.05).The incidence of massive haematothorax in surgical internal fixation group was significantly higher than that of conservative treatment group(40.9% vs 7.8%)(P 0.05).But the complications of respiratory system and the deformity of chest wall in surgical internal fixation group were significantly lower than those in conservative treatment group(36.4% vs 84.6%,27.3% vs 92.3%)(P 0.01,0.01).There was no statistical significance in both groups for ventilator support(18.2% vs 23.1%)(P 0.05).The respiratory complications in the group of using Ni-Ti shape memory alloy of embracing internal fixator were much lower than those in group of using steel-wire and Kirschner wire(25% vs 66.7%)(P 0.05).The deformity of chest wall after operation was only existed in group of fixation using steel-wire and Kirschner wire.The shape of thoracic cage was recovered completely for all of the patients using Ni-Ti shape memory alloy of embracing internal fixator.Conclusion The surgical internal fixation group is much better than the conservative treatment.It can stabilize the chest wall rapidly and improve the respiratory function in patients with severe flail chest.The results suggest that Ni-Ti shape memory alloy of embracing internal fixator is one of the best suitable choices for correction of chest wall floating." @default.
- W2361776010 created "2016-06-24" @default.
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- W2361776010 date "2009-01-01" @default.
- W2361776010 modified "2023-09-23" @default.
- W2361776010 title "Comparison between surgical and conservative treatment for flail chest" @default.
- W2361776010 hasPublicationYear "2009" @default.
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