Abstract
BackgroundThe aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals.MethodsA retrospective study was conducted on 86 patients admitted to our hospital between January 2016 and May 2020 with rib fractures and atelectasis after thoracic trauma. On the basis of the chest computed tomography scans taken at the time of discharge, the patients were divided into two groups: the reexpansion group and the non-reexpansion group. The two groups were compared with respect to the changes observed in the patients’ levels of blood oxygen saturation (SpO2) and pulmonary function, the presence of secondary pulmonary or thoracic infection, the time of chest tube drainage, the length of hospitalization, the cost of hospitalization, and the patients’ level of satisfaction with their quality of life 3 months after discharge.ResultsIn the reexpansion group, there were significant differences in the levels of SpO2 and pulmonary function measured before and after pulmonary reexpansion (P < 0.05). Compared with the non-reexpansion group, the patients in the reexpansion group had a lower incidence of secondary pulmonary and thoracic infection and a higher level of satisfaction with their quality of life after discharge; these differences were statistically significant (P < 0.05). There was no statistical significance between the two groups with respect to the time of chest tube drainage or the length of hospitalization (P > 0.05). However, the cost of hospitalization was significantly higher in the reexpansion group than in the non-reexpansion group (P < 0.05).ConclusionsThe patients in the pulmonary reexpansion group had a lower incidence of complications and a better prognosis than the patients in the non-reexpansion group.
Highlights
The aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals
Atelectasis can have many different causes, it is most commonly caused by thoracic trauma, especially in patients with rib fractures
During the course of our study, we found that a considerable proportion of patients (43%) lacked an understanding of atelectasis, or did not find it worthy of attention
Summary
The aim of the present study was to explore the therapeutic effect and prognosis in patients with rib fractures and atelectasis after thoracic trauma in order to provide a basis for clinical decision-making in primary hospitals. The incidence of thoracic injuries has gradually increased as injuries caused by traffic accidents become more common. Atelectasis is associated with bronchial stenosis or obstruction, a decrease in the volume of gas in the lung, and a reduction in pulmonary volume. Atelectasis can have many different causes, it is most commonly caused by thoracic trauma, especially in patients with rib fractures. Atelectasis caused by thoracic trauma can be accompanied by many other conditions. The delayed or improper treatment of atelectasis can seriously affect the quality of life and prognosis of patients and lead to pulmonary infection, hypoxemia, and even death
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