胸部钝性创伤对呼吸功能影响及诊疗管理研究进展  

Research Progress of the Impact of Blunt Chest Trauma on Respiratory Function and Treatment Management

作　　者：陈逍堃 邓玖旭[1] 郭辅政 窦丽稳[1] 王天兵[1] CHEN Xiao-kun;DENG Jiu-xu;GUO Fu-zheng;DOU Li-wen;WANG Tian-bing(Trauma Center of Peking University People’s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院创伤中心,北京100044

出　　处：《伤害医学（电子版）》2020年第2期43-48,共6页Injury Medicine(Electronic Edition)

基　　金：国家重点研究计划,基金号:2018YFF0301103。

摘　　要：胸部钝性创伤是交通伤中常见疾病,会造成胸壁和呼吸系统损伤。严重的胸部钝性创伤患者往往需要气管插管、机械通气及长时间入住重症监护病房,死亡率高。改善患者呼吸功能、减少患者呼吸机的使用时长和重症监护病房入住时长可有效改善预后,降低死亡率,减轻患者的经济负担。随着技术的进步以及医疗器材和理念的更新,手术治疗胸壁损伤的适应证逐渐放宽,手术的目的不仅满足于拯救患者生命,而更加强调改善钝性胸部创伤患者近、远期呼吸功能和生活质量。因此本文着重从胸部钝性创伤影响呼吸功能的原因以及相应的治疗管理进行综述,并讨论了相关研究的热点问题,为进一步提高此类创伤患者生活质量提供参考与依据。Blunt chest trauma is a common disease in traffic injuries that can cause damage to the chest wall and respiratory system.Patients with severe blunt chest trauma often require endotracheal intubation,mechanical ventilation,prolonged admission in the intensive care unit,with a high mortality rate.Improving patients'respiratory function,reducing the length of the patient's ventilator use and the length of stay in the intensive care unit can improve the prognosis,reduce mortality,and reduce the patient's financial burden.With the progress of technology and the update of medical equipment and concepts,the indications for surgical treatment of chest wall injuries are gradually relaxed,not only to save patients'lives,but also to improve the short-term and long-term respiratory function of patients with blunt chest trauma.Therefore,this article reviews the causes that affect respiratory function and the corresponding treatment management,and discusses the hot issues of related research for further improving the quality of life of patients with this kind of trauma to provide reference and basis.

关 键 词：钝性胸部创伤 呼吸功能 诊疗管理 

分 类 号：R655[医药卫生—外科学]