摘要
目的探讨瓦斯爆炸伤致肺部爆震伤的临床流行病学特点。方法回顾1990年1月至2010年12月平顶山煤业集团医院132名瓦斯爆炸致肺部爆震伤患者的临床资料，对就诊情况、肺部损伤情况、合并伤、治疗情况及死亡情况等进行分析。结果56例患者入院时意识清楚，其中30例1-5d出现咳嗽、咯血等肺部症状，7例出现血胸，11例出现血气胸，86例患者合并烧伤，96例复合肺吸入性损伤，41例腹部脏器爆震伤，76例并发肺部感染，31例发生休克，7例患者因呼吸衰竭死亡，2例发生多器官功能衰竭。结论肺爆震伤入院时外伤轻，内伤重，复合伤及并发症多，伤情复杂，诊断困难，胸部x线片表现多样，死亡率高，大部分肺爆震伤患者需气管切开及机械通气，及时气管切开、机械通气是影响预后的主要措施。
Objective To investigate the clinical epidemiological features.of blast injury of lungs caused by gas explosion. Methods A retrospective analysis of 132 eases of blast injury of lungs caused by gas explosion injuries in our hospital from 1990 to 2010 were made, including the information of lung injury, associated injuries, treatment and mortality. Results 56 patients were conscious on admission, during 1-5 days, 30 patients got cough, hemoptysis and other pulmonary symptoms, 7 patients had hemothorax, 11 cases combined with pneumothorax, 86 cases of patients with bums, 96 cases with pulmonary aspiration compound injury, 41 cases with abdominal organs blast injuries, 76 cases with pulmonary infection, 31 cases with shock, Seven patients died of respiratory failure, two patients died of respiratory failure. Conclusion Blast injury of lung featured with serious internal injuries, combined with many injuries, The incidence of eompond injury was high, and it was difficult to diagnose. Chest X-ray were varied. The mortality was high, and the predominant causes of death were respiratory failure, shock, sepsis. Most patients with blast injury of lung need tracheotomy and mechanical ventilation. Timely tracheotomy, mechanical ventilation were the major prognostic measures.
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2012年第8期582-583,共2页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
中平能化集团重点科技开发基金41040220111207
关键词
流行病学
爆震伤
肺
瓦斯爆炸
epidemiology
blast injury
lung
gas explosion
