›› 2010, Vol. 30 ›› Issue (12): 1486-.doi: 10.3969/j.issn.1674-8115.2010.12.009

• Monographic report (Traumatic medicine) • Previous Articles     Next Articles

Effects of emergency surgical internal fixation management on hemodynamics in patients with traumatic flail chest

TENG Ji-ping, NI Da, CHENG You-shuang, CHENG Yun-ge, PAN Rong-hua, ZHU Zhi-jun   

  1. Department of Cardiothoracic Surgery, The Third People's Hospital, Institute of Traumatic Medicine, Shanghai Jiaotong University School of Medicine, Shanghai 201900, China
  • Online:2010-12-25 Published:2010-12-31
  • Supported by:

    Foundation of The Third People's Hospital, Shanghai Jiaotong University School of Medicine, syz08-13；Foundation of Shanghai Education Committee for Excellent Young Teachers, jdy09068

PDF (PC)

1836

Abstract:

Objective To investigate the effects of emergency surgical internal fixation on hemodynamics in patients with traumatic flail chest. Methods A total of 34 patients with traumatic flail chest managed by emergency surgical internal fixation were selected. The parameters of heart rate (HR), cardiac output (CO), pulmonary capillary wedge pressure (PCWP), mean arterial pressure (MAP) and central venous pressure (CVP) at the time points of before anesthesia induction, before operation after anesthesia, immediately after operation, 4 h after operation and 24 h after operation were monitored and compared. Results Compared with those at the time points of before anesthesia induction and before operation after anesthesia, HR and CVP significantly decreased (P<0.05), and CO, PCWP and MAP significantly increased at the time points of immediately after operation, 4 h after operation and 24 h after operation (P<0.05). Conclusion Emergency surgical internal fixation may improve the hemodynamics of traumatic flail chest, and has some short-term therapeutic effect on flail chest.

Key words: flail chest, hemodynamics, fracture of rib, internal fixation