Analysis of the Clinical Effect and Complication Rate of Emergency Surgery for Severe Chest Trauma with Traumatic Shock

IF 4.8 2区管理学 Q1 EDUCATION & EDUCATIONAL RESEARCH

Academy of Management Learning & Education Pub Date : 2020-12-29 DOI:10.18282/l-e.v9i3.1605

Sakarie Mustafe Hidig, Jie Yang, Xiaokaiti Yibulayin

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Abstract

Objective: To analyze the clinical effect and complication rate of emergency surgery for severe chest trauma with traumatic shock. Method: A total of 100 patients with severe chest trauma and traumatic shock admitted to our hospital from November 2017 to November 2018 were randomly selected. All the patients were divided into the reference group (50 cases, elective surgical treatment) and the study group (50 cases, emergency surgical treatment) according to the difference in surgical treatment time. At the same time, the effect of surgical treatment, incidence of complications (organ failure, respiratory distress syndrome, empyema, pulmonary infection) and clinical indicators (recovery time of respiratory function, mortality) of patients in the two groups were compared and analyzed. Consequence: The total effective rate of clinical efficacy in the control group and the treatment group was 98% and 86%, so treatment group was significantly higher than the control group. The incidence of adverse reactions in the control group and the treatment group was 4% and 12%, so treatment group was significantly lower than the control group, and the recovery time and mortality of respiratory function in the treatment group were lower than those in the control group, with significant differences in all comparisons (P < 0.05). Conclusion: Emergency surgery for patients with severe chest trauma and traumatic shock has a significant therapeutic effect, which can effectively reduce the risk of postoperative complications, improve the prognosis of patients and reduce the short-term mortality of patients.

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重型胸外伤合并创伤性休克急诊手术的临床疗效及并发症发生率分析

目的:分析重型胸外伤合并创伤性休克急诊手术治疗的临床效果及并发症发生率。方法:随机选取我院2017年11月至2018年11月收治的100例重度胸外伤及外伤性休克患者。根据手术治疗时间的差异，将所有患者分为参照组(50例，择期手术治疗)和研究组(50例，紧急手术治疗)。同时对两组患者的手术治疗效果、并发症(器官衰竭、呼吸窘迫综合征、脓胸、肺部感染)发生率及临床指标(呼吸功能恢复时间、死亡率)进行比较分析。结果:对照组和治疗组临床总有效率分别为98%和86%，治疗组明显高于对照组。对照组和治疗组不良反应发生率分别为4%和12%，治疗组显著低于对照组，治疗组呼吸功能恢复时间和病死率均低于对照组，两组比较差异均有统计学意义(P < 0.05)。结论:急诊手术治疗严重胸外伤、外伤性休克患者疗效显著，可有效降低术后并发症发生风险，改善患者预后，降低患者短期死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academy of Management Learning & Education Multiple-

CiteScore

8.20

自引率

8.30%

发文量

期刊介绍： AMLE’s mission is to contribute to management learning and education by publishing theory, empirical research, reviews, critiques, and resources that address the processes of management teaching and the learning that results from it. Additionally, AMLE publishes work that addresses important issues in the institutional environment and administration of business schools and their stakeholders. The journal’s emphasis is on the study of management learning and education in all types of settings—schools and universities as well as businesses and public and non-profit organizations. AMLE is quarterly in March, June, September, and December.