全身多发伤合并肺挫伤的早期诊断与治疗  

Early Diagnosis and Therapy for the Multiple System Organ Injury Combined with Pulmonary Contusion

作　　者：徐善明[1] 钮海弟[1] 钟金龙[1] 卢正兴[1] 陈喜云[1] 

机构地区：[1]复旦大学附属金山医院胸外科,上海200540

出　　处：《中国临床医学》2005年第2期211-212,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:总结全身多发伤合并肺挫伤后早期诊治方法和经验.方法:回顾分析2000年10月～2004年10月收治的118例全身多发伤合并肺挫伤患者的治疗效果.结果:治愈106例;死亡12例.伤后24h内死于失血性、创伤性休克、多脏器功能衰竭8例;伤后72h内死于ARDS 2例;死于其它并发症2例.结论:早期胸部CT检查可明确诊断;及时、正确地使用呼吸机;合理补液、运用激素、利尿剂等是治疗肺挫伤的关键.Objective: To analyze the effect of early diagnosis and therapy on the multiple system organ injury Combined with pulmonary contusion. Methods: 118 patients with the multiple system organ injury and the pulmonary contusion from October 2000 to October 2004 in our hospital were retrospectively analyzed. Results: Among 118 cases,106 cases were cured,12 died. 8 cases died of hemorrhagic shock, wound shock,MODS in 24 hours after trauma;2 cases died of ARDS in 72 hours after trauma;2 cases died of other complications.Conclusion:The key to improve the prognosis is to do Chest CT earlier,to use ventilator in time,to have reasonable liquid support and to use hormone,diuretic Mucosolvan etc.

关 键 词：全身多发伤 肺挫伤 诊断与治疗 早期 2000年10月 多脏器功能衰竭 胸部CT检查 2004年 创伤性休克 诊治方法 治疗效果 回顾分析 伤患者 失血性 24h 72h 并发症 呼吸机 利尿剂 

分 类 号：R651.15[医药卫生—外科学] R655.3[医药卫生—临床医学]