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男34例,女14例,年龄1～13岁。各种车撞伤31例,高处坠落伤7例,马踢伤2例,辗压伤3例,锐器伤5例。闭合性损伤43例,开放性损伤5例。肋骨骨折合并肺挫伤11例,肋骨骨折合并血气胸5例,单纯湿肺6例。无肋骨骨折的血气胸及纵隔气肿26例。合并锁骨骨折5例,腹部外伤、四肢骨折或脑外伤18例,损伤性窒息1例。治疗及结果:全组患儿均行以保肺为主的药物及其他保守治疗。根据病情行胸腔闭式引流17例,胸腔穿刺抽气液7例。手术治疗7例,其中肺叶切除
34 males and 14 females, aged 1 to 13 years old. All kinds of vehicles bruised 31 cases, 7 cases of falling height injury, horse kicking in 2 cases, rolling injury in 3 cases, sharp injury in 5 cases. Closed injury in 43 cases, open injury in 5 cases. Rib fractures with pulmonary contusion in 11 cases, 5 cases of rib fractures with pneumothorax, simple wet lung in 6 cases. 26 cases of non-rib fractures of the blood pneumothorax and mediastinal emphysema. Five cases were complicated with clavicle fracture, one was abdominal trauma, the other was limb fracture or traumatic brain injury in 18 cases. Treatment and outcome: All patients underwent lung-based drugs and other conservative treatment. According to the condition of thoracic drainage in 17 cases, thoracentesis aspiration fluid in 7 cases. Surgical treatment in 7 cases, including lobectomy