摘要
目的：探讨机械通气治疗连枷胸的指证、呼吸机的管理，以及连枷胸与肺挫伤的关系．方法：总结我院自１９８８年１月～１９９５年８月１０例用机械通气治疗的连枷胸病例．结果：死亡３例，治愈７例．治愈者机械通气时间４～２０天，住院时间１８～７４天．结论：（１）肺挫伤是造成连枷胸呼吸功能障碍的重要因素之一；（２）机械通气的指证：呼吸窘迫，低氧血症，合并严重休克、颅脑外伤等，因手术全麻气管插管，气道梗阻；（３）缩短机械通气时间，防。
Aim:Todiscusstheindicationsofmechanicalventilationforflailchest,themanagementoftheventila-torsandtheairways,andtherelationshipbetweenflailchestandpulmonarycontusion.Methods:Tencasesoftraumat-icflailchestwerereviewedwhoweretreatedwithmechanicalventilationfrom1988to1995inourhospital.Results:Threepatientsdiedduetoassociatedextrathoracicinjuriesortheircomplications.Sevenpatientsweretreatedwithme-chanicalventilationfor4to20days(mean8.9days).Theaveragehospitalstaywas49.3days.Conclusion:1.Lungcontusionisoneofthemajorreasonsthatcausetherespiratoryfailuretothepatientswithflailchest.2.Theindicationsformechanicalventilationinclude:(1)hypoxiaandrespiratorydistress,(2)majorassociatedinjuriessuchasshockorsevereneurologicinjury,(3)thenecessityforgeneralanesthesia,or(4)obstructionoftheairway.3.Shorteningthedurationofmechanicalventilationandpreventingpulmonaryinfectionsarethemostimportantmethodstoreducethecomplications.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1996年第6期380-382,共3页
Chinese Journal of Trauma
关键词
连枷胸
肺挫伤
机械通气
创伤
FlailchestPulmonarycontusionMechanicalventilation
