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| 创伤性肺血肿的治疗与转归 | |
| 引用本文： | 滕继平,倪达,程佑爽,朱智军,朱余明,潘铁文.创伤性肺血肿的治疗与转归[J].创伤外科杂志,2012,14(1):31-34. |
| 作者姓名： | 滕继平 倪达 程佑爽 朱智军 朱余明 潘铁文 |
| 作者单位： | 1. 上海交通大学医学院附属第三人民医院胸心外科,上海交通大学创伤研究所,上海,201900 2. 同济大学医学院附属肺科医院胸外科,上海,200433 3. 第二军医大学附属长征医院胸心外科,上海,200003 |
| 基金项目： | 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。 |
| 关 键 词： | 胸部创伤 肺血肿 治疗 |
Diagnosis and treatment outcome of traumatic pulmonary hematoma |
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| TENG Ji-ping,NI Da,CHENG You-shuang,ZHU Zhi-jun,ZHU Yu-ming,PAN Tie-wen.Diagnosis and treatment outcome of traumatic pulmonary hematoma[J].Journal of Traumatic Surgery,2012,14(1):31-34. | |
| Authors: | TENG Ji-ping NI Da CHENG You-shuang ZHU Zhi-jun ZHU Yu-ming PAN Tie-wen |
| Institution: | 1.Department of Cardiovascular Surgery,NO.3 People’s Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200433,China;2.Department of Cardiovascular Surgery,Pulmonary Hospital,School of Medicine of Tongji University,Shanghai 200433,China;3.Department of Cardiovascular Surgery,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China) |
| Abstract: | 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 pulmonary 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 hematoma larger than 20mm,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. |
| Keywords: | thoracic injury pulmonary hematoma treatment |
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