| 双侧连枷胸合并严重肺挫伤21例的呼吸机治疗体会 |
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| 引用本文： | 陈希涛,孙筱笛,韩立波,丛巍,杜江,张林. 双侧连枷胸合并严重肺挫伤21例的呼吸机治疗体会[J]. 临床肺科杂志, 2013, 18(2): 253-254 |
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| 作者姓名： | 陈希涛 孙筱笛 韩立波 丛巍 杜江 张林 |
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| 作者单位： | 中国医科大学附属第一医院胸外科;中国医科大学附属第一医院心内科 |
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| 摘 要： | 目的探讨机械通气治疗创伤性连枷胸合并肺挫伤、呼吸衰竭的疗效。方法对21例双侧创伤性连枷胸合并严重肺挫伤、呼吸衰竭未行手术内固定之患者行机械通气治疗后分析血气分析等各种参数的变化。结果机械通气治疗后动脉血PH值、氧分压（PaO2）、二氧化碳分压（PaCO2）、碳酸根离子（Hcof）、氧合指数（PaO2／FiO2）等均较前明显改善。结论对于双侧创伤性连枷胸合并严重肺挫伤、呼吸衰竭的患者，机械通气内固定治疗行之有效。
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| 关 键 词： | 创伤性连枷胸 肺挫伤 机械通气 呼吸衰竭 |
Breathing machine experience in the treatment of 21 patients with bilateral flail chest complicated with severe pulmonary contusion using |
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| CHEN Xi-tao,SUN Xiao-di,HAN Li-bo,CONG Wei,DU Jiang,ZHANG Lin. Breathing machine experience in the treatment of 21 patients with bilateral flail chest complicated with severe pulmonary contusion using[J]. Journal of Clinical Pulmonary Medicine, 2013, 18(2): 253-254 |
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| Authors: | CHEN Xi-tao SUN Xiao-di HAN Li-bo CONG Wei DU Jiang ZHANG Lin |
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| Affiliation: | Department of Thoracic Surgery,the First Affiliated Hospital of China Medical University,Shenyang 110001,China |
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| Abstract: | Objective To study the effect of mechanical ventilation in the treatment of traumatic flail chest complicated with pul- monary contusion and respiratory failure. Methods 21 patients with bilateral flail chest combined with severe pulmonary contusion and respiratory failure were treated with invasive mechanical ventilation, and then the blood gas and value of pH, PaO2 , PaCO2 , and HCO3 were compared before and after the treatment. Results The values of PH, PaO2 , PaCO2 , and HCO3 were all better improved after the treatment. Conclusion The mechanical ventilation is an effective method in the treatment of patients with flail chest complicated with se- vere pulmonary contusion and respiratory failure. |
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| Keywords: | traumatic flail chest pulmonary contusion mechanical ventilation respiratory failure |
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