双侧连枷胸合并严重肺挫伤21例的呼吸机治疗体会  

Breathing machine experience in the treatment of 21 patients with bilateral flail chest complicated with severe pulmonary contusion using

作　　者：陈希涛[1] 孙筱笛[2] 韩立波[1] 丛巍[1] 杜江[1] 张林[1] 

机构地区：[1]中国医科大学附属第一医院胸外科,辽宁沈阳110001 [2]中国医科大学附属第一医院心内科,辽宁沈阳110001

出　　处：《临床肺科杂志》2013年第2期253-254,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨机械通气治疗创伤性连枷胸合并肺挫伤、呼吸衰竭的疗效。方法对21例双侧创伤性连枷胸合并严重肺挫伤、呼吸衰竭未行手术内固定之患者行机械通气治疗后分析血气分析等各种参数的变化。结果机械通气治疗后动脉血PH值、氧分压(PaO2)、二氧化碳分压(PaCO2)、碳酸根离子(HCO3-)、氧合指数(PaO2/FiO2)等均较前明显改善。结论对于双侧创伤性连枷胸合并严重肺挫伤、呼吸衰竭的患者,机械通气内固定治疗行之有效。Objective To study the effect of mechanical ventilation in the treatment of traumatic flail chest complicated with pul- monary contusion and respiratory failure. Methods 21 patients with bilateral flail chest combined with severe pulmonary contusion and respiratory failure were treated with invasive mechanical ventilation, and then the blood gas and value of pH, PaO2 , PaCO2 , and HCO3 were compared before and after the treatment. Results The values of PH, PaO2 , PaCO2 , and HCO3 were all better improved after the treatment. Conclusion The mechanical ventilation is an effective method in the treatment of patients with flail chest complicated with se- vere pulmonary contusion and respiratory failure.

关 键 词：创伤性连枷胸 肺挫伤 机械通气 呼吸衰竭 

分 类 号：R655[医药卫生—外科学]