摘要
目的 探讨严重肺挫伤的早期诊断和治疗。方法 对 6 8例严重肺挫伤 (损伤严重度评分ISS≥ 2 0分 )患者的早期诊断和治疗经验进行分析与总结 结果 6 8例中治愈 5 2例 (76 % ) ,死亡 16例 (2 4% )。在治疗过程中并发ARDS 31例 ,肺炎 40例 ,肺不张 8例。结论 咯血或血痰、肺部音、呼吸困难是严重肺挫伤的主要表现。胸部X线、CT检查是诊断的可靠依据。PaO2 /FiO2 是判断低氧血症严重程度的重要指标。保持呼吸道通畅、抗休克、积极治疗合并伤、合理应用机械通气。
? Objective To explore the early diagnosis and treatment of severe pulmonary contusion.Methods Sixty eight cases with severe pulmonary contusion with ISS≥20 were selected,and the early diagnosis and treatment were discussed.Results Fifty two cases survived,and 16 cases died.During hospitalization,there were 31cases complicated with ARDS,40 cases with pneumonia and 8 cases with atelectasis.Conclusion Hemoptysis or sputum with blood,rales over the lungs and dyspnea are the major manifestations of severe pulmonary contusion.Chest X ray and CT are reliable for the diagnosis of pulmonary contusion.PaO 2/FiO 2 ratio is important to judge the degree of hypoxemia.The main methods for severe pulmonary contusion are to keep airway clear,to treat shock progressively,and to apply ventilation,steroids as well as antibiotics reasonably. 〔
出处
《创伤外科杂志》
2000年第2期70-72,共3页
Journal of Traumatic Surgery
