Abstract: 【Abstract】〓Objective〓To explore the clinical effect of nickel-titanium shape memory alloy embracing fixator for the treatment of flail chest with multiple injuries. Methods〓Twenty-nine flail chest patients with multiple injuries were treated by using nickel-titanium shape memory alloy embracing fixator. The clinical effect was retrospectively analyzed. Results〓Among 29 cases, 28 patients were cured and one patient died. The chest pain and respiratory function were significantly improved. The average hospitalization duration was 19 days. All the patients were followed up for 3 to 12 months, and no severe complications were found. Conclusion〓Nickel-titanium shape memory alloy embracing fixator is a simple and effective method for the treatment of flail chest, and is helpful early functional exercise after surgery.

Key words: Flail chest, Multiple injury, Memory alloy embracing fixator

摘要： 【摘要】 目的 探讨记忆合金环抱器手术内固定治疗连枷胸的临床应用价值及重症胸外伤的救治体会。方法〓29例连枷胸均应用记忆合金环抱器手术治疗分析、总结应用记忆合金环抱器内固定手术治疗连枷胸的体会。结果〓本组病人中29例顺利治愈出院,一例因伤情过重死亡。术后病人的呼吸循环功能得到最大限度的保护,胸痛时间明显减轻。胸廓塌陷畸形尽早矫正,胸壁恢复稳定,反常呼吸消失,尽快促进骨愈合。结论〓记忆合金环抱器内固定治疗连枷胸,能够快速恢复胸廓形状及稳定性,迅速缓解剧烈疼痛,有助于骨折愈合,对严重胸内复合伤者,处理胸内严重损伤的同时可一并尽早行肋骨骨折内固定,大大提高复合伤合并连枷胸患者的救治成功率。

关键词: 记忆合金环抱器, 连枷胸, 复合伤