Retrospective Study of Different internal Fixation Timing for Patients with Traumatic Flail Chest
ZHOUZhi-gang,HUANG Fei,HUANG Gang
Department of Thoracic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China
Abstract:
Objective To explore the retrospective study of different internal fixation timing for patients with traumatic flail chest. Methods The basic data of 74 patients with traumatic flail chest underwent internal fixation from January 2016 to December 2017 were retrospectively collected and divided into two groups according to the timing of internal fixation, including 44 patients who underwent internal fixation within 72 hours after admission as Early group, and 30 patients who underwent internal fixation beyond 72 hours as Late group.The recovery status, chest AIS score, Injury Severity Score (ISS), oxygen tension (PaO2 ), partial pressure of carbon dioxide (PaCO2), respiratory rate (RR), heart rate (HR) were compared between the two groups and the complications was also recorded. Results The ventilation time, extubation time, ICU time and hospitalization time in the Early group (25.12±4.35, 3.21±0.67, 3.75±0.79, 11.63±4.35) were lower than the Late group (36.82±5.39, 4.36±0.84, 4.89±0.93, 16.72±5.19), and the difference was statistically significant(P<0.05).The thoracic AIS scores of the Early group and the Late group were (3.15±0.32), (3.67±0.34) and(14.91±3.58), (17.29±4.27) respectively on the 3rd day after treatment, and the difference was statistically significant (P <0.05). Compared with pre-operation, PaO2 increased, PaCO2, RR and HR decreased in the two groups, postoperative levels of PaO2, PaCO2 , RR and HR in the two groups had no significant difference(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05). Conclusion Compared with the latestage, early internal ?xation for traumatic ?ail chest is helpful to the recovery of patients. It had no signi?cant difference in respiratory and circulatory function as well as in postoperative complications.
