创伤性肺血肿的治疗与转归  

Diagnosis and treatment outcome of traumatic pulmonary hematoma

作　　者：滕继平[1,2] 倪达[1,2] 程佑爽[1,2] 朱智军[1,2] 朱余明[3] 潘铁文[4] 

机构地区：[1]上海交通大学医学院附属第三人民医院胸心外科 [2]上海交通大学创伤研究所,上海201900 [3]同济大学医学院附属肺科医院胸外科,上海200433 [4]第二军医大学附属长征医院胸心外科,上海200003

出　　处：《创伤外科杂志》2012年第1期31-34,共4页Journal of Traumatic Surgery

基　　金：上海市卫生局课题专项基金(2010147)

摘　　要：目的总结创伤性肺血肿的治疗经验。方法 21例胸部创伤后肺血肿患者采取有创治疗3例,非手术治疗18例,对其临床资料,包括致伤因素、合并伤情、血肿大小、治疗措施、远期随访结果进行回顾性分析。结果创伤性肺血肿多合并肺挫伤、肋骨骨折、血气胸,肺血肿直径<20mm组咯血持续时间以及血肿吸收时间明显短于直径>20mm组,差异有统计学意义(P<0.05)。21例获随访4～8个月,预后良好。结论非手术治疗创伤性肺血肿预后良好。Objective To summarize the experience in the treatment of traumatic pulmonary hematoma. Methods The clinical data of 21 patients with traumatic pulmonary hematoma were retrospectively analyzed. The causative factors of injury, associated injury, hematoma size, therapeutic measure, follow up consequence of pulmonary hematoma were collected. Results The traumatic pulmonary hematoma was related to puhnonary contusion,fractured ribs, hemopneumothorax. The duration of hemoptysis and resolution time of traumatic pulmonary hematoma in the patients with pulmonary hematoma smaller than 20mm were significantly shorter than those with pulmonary hema- toma larger than 20ram, and the statistical difference was significant（P 〈 0.05 ）. There were 3 cases of traumatic treatment and 18 cases of conservative treatment. Totally 21 cases were followed up for 4-8 months, indicating good prognosis. Conclusion Conservative treatment for the traumatic pulmonary hematoma has a good prognosis.

关 键 词：胸部创伤 肺血肿 治疗 

分 类 号：R655[医药卫生—外科学]