中西医结合治疗胸部闭合性创伤——150例临床分析

This paper reports 150 cases of closed trauma caused mainly by direct violence.Statistics showed that the injury was common in young men and adults.Among these patients,simple tissue contusion was seen in 52 cases,ribs fracture in 98 and 40 of them were severely damaged,including hemothorax, pneumothorax,hemo-pneumothorax,flail chest and multiple organic injury,they were 7,9,16,3,and 5 cases respectively. All patients in this group were treated with TCM-WM therapy.Patients suffering from tissue contusion, ribs fracture and hemopneumothorax in mild degree were treated according to their syndrome differentiation.Two secret prescription handed down from ancesters,namely"Xing Qi San"(行气散)and "Shang Yap Fen"(伤药粉),were given to the patients by oral administration and external application respectively.The ear acupuncture therapy was also very satisfactory in relieving the pain.While in flail chest and hemopneumothorax in medium degree,the patients usually complicated with severe respiratory and circulatory insufficiency and were in emergency condition.In those critical conditions,first-aid treatment such as clearing the airway,sufficient oxygen supply,controlling the paradoxical respiration and anti-shock measures,were made within a short period of time.Thoracotomy and thoracocentesis was also performed in order to remove the gas and blood rapidly from thoracic cavity.TCM was then administered for promoting healing as soon as the patient’s conditions were somewhat improved. With TCM-WM treatment,133 patients(88.7%)were cured,15(10%)were effective,while 2(1.3%)had no change at all.The total effective rate was 98.7%. Traditional Chinese Medicine possesses the advantage of promoting the healing process by means of differentiating the Qi and blood condition of the patients,while western medicine was effective in the management of severe thoracic injury patients.Combining these two methods into one comprehensive therapy showed satisfactory results,short period of hospitalization and less expense for the patients.At present,the author presumes,it is an ideal method in the treatment of closed chest injury.

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