| 连枷胸救治的进展与争议 |
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| 引用本文： | 高劲谋.连枷胸救治的进展与争议[J].创伤外科杂志,2011,13(2):187-188. |
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| 作者姓名： | 高劲谋 |
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| 作者单位： | 重庆市急救医疗中心创伤科,重庆,400014 |
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| 摘 要： | 连枷胸大多合并肺挫伤,综合治疗应包括浮动胸壁的固定和肺挫伤的处理.手术内固定治疗连枷胸越来越多地被接受,但应掌握手术指征和注意手术方法.机械通气应当不是对浮动胸的"气体正压内固定",而是用于因严重肺挫伤导致的急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS).
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| 关 键 词： | 连枷胸 肺挫伤 肋骨骨折 内固定 |
Progress and controversy in management of traumatic flail chest |
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| GAO Jin-mou.Progress and controversy in management of traumatic flail chest[J].Journal of Traumatic Surgery,2011,13(2):187-188. |
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| Authors: | GAO Jin-mou |
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| Institution: | GAO Jin-mou(Department of Traumatology,Chongqing Emergency Medical Center,Chongqing 400014,China) |
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| Abstract: | Flail chest is mostly associated by pulmonary contusion.Synthetic therapy consists of the fixation of floating chest wall and treatment of pulmonary contusion.Surgical fixation has recently been suggested as a method to correct floating chest wall.However,the indication and technique of open internal fixation should be stressed.Mechanical ventilation is used to deal with ALI and ARDS due to severe pulmonary contusion instead of internal pneumatic stabilization with positive pressure for paradoxical respir... |
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| Keywords: | flail chest pulmonary contusion rib fracture internal fixation |
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