132例严重肺挫伤诊治分析  

Diagnosis and treatment of severe pulmonary contusion in 132 cases

作　　者：洪琼川[1] 汪礼旭[1] 麻成方[1] 周日光[2] 

机构地区：[1]深圳市龙岗中心医院胸外科,518116 [2]深圳市龙岗中心医院普通外科,518116

出　　处：《中华创伤杂志》2005年第3期166-168,共3页Chinese Journal of Trauma

摘　　要：目的　探讨严重肺挫伤的诊断及治疗方法。　方法　回顾分析 1993年 2月 -2003年 12月收治的 132例严重肺挫伤[损伤严重度评分 (ISS)≥20分]患者的诊断与治疗。　结果　132例中,治愈 107例(81. 1% ),死亡 25例(18. 9% )。　结论　胸部X线、CT检查是诊断的可靠依据。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、激素和抗生素是治疗肺挫伤的重要方法,早期诊断并及时处理合并伤是提高抢救成功率的关键。Objective To discuss the diagnosis and treatment of pulmonary contusion. Methods A retrospective study was carried out in 132 cases of severe pulmonary contusion (injury severity score ≥20) from February 1993 to December 2003. Results Of all, 107 cases (81.1%)survived and 25 (18.9%)died. Conclusions Chest X-ray and CT are reliable for the diagnosis of pulmonary contusion. The important methods include keeping airway clear, progressively treating shock and reasonably applying ventilation, steroids as well as antibiotics. The early diagnosis and the prompt treatment of the associated injuries are key to higher cure rate.

关 键 词：肺挫伤 治疗 诊断 损伤严重度评分 

分 类 号：R655[医药卫生—外科学]