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创伤性连枷胸合并肺挫伤诊治进展
引用本文:赵云平,王如文,蒋耀光.创伤性连枷胸合并肺挫伤诊治进展[J].创伤外科杂志,2009,11(4):372-373,380.
作者姓名:赵云平  王如文  蒋耀光
作者单位:第三军医大学大坪医院野战外科研究所胸外科,重庆,400042
摘    要:连枷胸是一种常见的胸部钝性伤,多合并肺实质的损伤,易引起急性呼吸窘迫综合征(ARDS)及呼吸衰竭。多层螺旋CT、床旁超声、经食道超声心动图(TEE)及电视胸腔镜是诊断连枷胸和肺挫伤的良好方法。连枷胸合并肺挫伤的治疗较复杂,良好的镇痛、可靠的软化胸壁固定及呼吸机辅助治疗是提高连伽胸合并肺挫伤疗效的关键。本文就连枷胸合并肺挫伤的诊治进展进行了综述。

关 键 词:胸部损伤  连枷胸  肺挫伤  机械通气

Progress in diagnosis and treatment of traumatic flail chest and pulmomary contusion
ZHAO Yun-ping,WANG Ru-wen,JINAG Yao-guang.Progress in diagnosis and treatment of traumatic flail chest and pulmomary contusion[J].Journal of Traumatic Surgery,2009,11(4):372-373,380.
Authors:ZHAO Yun-ping  WANG Ru-wen  JINAG Yao-guang
Institution:Department of Thoracic Surgery;Institute of Surgery Research;Daping Hospital;Third Military Medical University;Chongqing 400042;China
Abstract:Flail chest is a common consequence of blunt trauma,which is most often accompanied by pulmonary parenchymal injury and can be a life-threatening thoracic injury.It is easy to induce acute respiratory distress syndrome(ARDS) and respiratory failure.Better diagnosis was gained with multilayer spiral CT,transesophageal echocardiography,transthoracic echocardiography,video-assisted thoracic surgery.Its treatment is complex.Easing pain,favourable fixing of flail chest and assistant treating of mechanical ventil...
Keywords:thoracic trauma  flail chest  pulmomary contusion  mechanical ventilation  
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