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188例肺挫伤的救治分析
引用本文:刘朝普,张连阳,王如文,黄显凯,姚元章,王韬.188例肺挫伤的救治分析[J].中国急救医学,2008,28(11):971-973.
作者姓名:刘朝普  张连阳  王如文  黄显凯  姚元章  王韬
作者单位:解放军第三军医大学大坪医院野战外科研究所,全军战创伤中心,重庆,400042
摘    要:目的 总结肺挫伤的诊断及治疗经验.方法 回顾分析2001-01~2007-06收治的188例肺挫伤患者的诊断、治疗方法及治疗效果.结果 治愈181例,死亡7例.死于创伤性失血性休克2例,重型颅脑损伤2例,ARDS 3例.结论 严重创伤患者肺挫伤的诊断首选CT检查,治疗后复查宜选胸部X光片.严重的合并伤和肺部并发症是肺挫伤的主要死亡原因,积极治疗合并伤,预防和治疗肺炎、肺不张及ARDS等是治疗肺挫伤的关键.

关 键 词:肺挫伤  诊断  治疗

Diagnosis and therapy of 188 cases with lung contusion
LIU Chao-pu,ZHANG Lian-yang,WANG Ru-wen,et al..Diagnosis and therapy of 188 cases with lung contusion[J].Chinese Journal of Critical Care Medicine,2008,28(11):971-973.
Authors:LIU Chao-pu  ZHANG Lian-yang  WANG Ru-wen  
Affiliation:LIU Chao-pu,ZHANG Lian-yang,WANG Ru-wen,et al.Trauma Center,Institute of Surgery Research,Daping Hospital,the Third Military Medical University,Chongqing 400042,China
Abstract:Objective To explore the diagnosis and therapy of lung contusion.Methods 188 patients with lung contusion from January 2001 to June 2007 in our hospital were retrospectively analyzed.The diagnosis,therapy and curative effect were discussed.Results Among 188 cases,181 cases were cured,7 cases died.2 cases died of hemorrhagic shock,2 cases died of severe head injury,3 cases died of ARDS.Conclusion Chest CT was best choice for the diagnosis of the lung contusion of patients with severe trauma.X ray was suitabl...
Keywords:Lung contusion  Diagnosis  Treatment  
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