严重肺挫伤早期综合治疗的疗效分析.pdfVIP

中现鼠药指南 2010 年 7 月第 8 卷第 20 期 Guide ofChina Medicine ,Ju1y 2010 ,Vo1. 8,No.20 论着I 185 严重肺挫伤早期综合治疗的疗效分析 杨类精l 朱缸旦在1 【摘要1 目的提高对严1世肺挫伤的诊治认识。方法对48 例产Ýß中校伤怠者的临床诊治资料进行总结分析。结果 48 例严1世肺挫伤怠者中， 1悔床治愈37 例，兑亡 11 例.结论产1世胸外伤怠翁如出现进行性咯血、呼吸阁难、发僻，以及fH靠学检索发现肺部放点4点或片状高密度 阴影者考虑到严大剂量激素、尽早合理机梳i!气f-综合治疗措施，从而达到最佳的治疗效果.严重肺挫伤，并有发展为急性呼吸窘迫综令 犯 (ARDS) 的可能，应早期进行吸礼、抗休克、应用 【关键词}肺技伤;怠..除呼吸*it综合征:综合治疗 中团分提号:附55.3 文献标识码: B 文.编号: 1671-8194 (2010) 20-0 185-02 Intluence of EarHer Period Integrative Therapy in Severe P u1monary Contu.ion 1 YANGA命i-jν.2加Hong-jun • υ Department ofRespiration. The First People s Hospital ofShangqiu. Shangqiu 476000. China; 2Department of Thoracic Surge.秽. The First Peop/e甘 HospitalofShangqiu. Shangqiu 47600矶 China) [Abstract]Objective To improve the clinical theory of earlier period integrative treatment of severe pulmonary contusion. Method The clínical data of48 c郁es of severe pulmonary ωntusion was analyzed. R酬lit Among 48 cωes of severe pulmonaryωnωsion， 37 cases were fully recovered and 11 di侃 ConclusioD The pa创m臼 should be given inte阴tive therapy including invaded mechanical ventilate, corrected hypoxidosis high-dose hormone and antibiotics and ωmplications， when the patients with severe chest trauma appωprogr幽ive emp悄邸， dyspnea, cyan叩础.y， and s饭时 or pieces of high- density shadow in chest X-ray and CT. Thωωquire 也.e best 位eatment result [Key words] Pulmon盯ωntusion; Acute respiratory distress syndrome; Integrative treatment 肺挫伤是l 临床上创伤后常见病症之一，如不及时正确诊治，肺挫伤 竭 (MOF) .伤后24h内死于失血性休克3例，窒息2例，伤后24-72h 后的病死感高达10%-20%[IJ，严黛肺楼伤的病死率可达43%_50%[zJ.