严重肺挫伤的临床诊治体会

目的：总结严重肺挫伤的诊治特点。方法：回顾分析2003年2月—2010年12月收治的198例严重肺挫伤损伤严重度评分（ISS）≥20分]患者的临床资料。结果：198例患者中治愈165例,治愈率为83.3%;病死33例,病死率为16.7%。结论：胸部影像学检查是诊断严重肺挫伤的可靠依据,保持呼吸道通畅、抗休克、积极治疗合并伤、合理应用机械通气、激素和抗生素是其治疗的重要方法,早期诊断并及时处理合并伤是提高抢救成功率的关键。

Clinical Diagnosis and Treatment of Severe Pulmonary Contusion

Objective：To review the clinical experience of diagnosis and treatment of severe pulmonary contusion.Methods： A retrospective study was carried out in 198 cases of severe pulmonary contusion（injury severity score ≥20） from January 2003 to December 2010.Results： Among 198 cases,165（83.3%）cases were cured and 33（16.7%） died.Conclusions： The chest image information are reliable for the diagnosis of severe pulmonary contusion.The important methods include keeping airway clear,progressively treating shock and reasonably applying ventilation,steroids as well as antibiotics.The early diagnosis and the prompt treatment of the associated injuries are key to higher cure rate.