摘要
本文对47例连枷胸的诊治进行了分析。认为浮动胸壁位于胸廓外侧比前侧和背侧的并发症多且重,尤其是肺挫伤重,ARDS的发病率也高。反常呼吸运动的范围和强弱与肺挫伤的程度呈一致关系。高渗晶胶混合液可以有效的治疗肺挫伤,预防ARDS的发生。连枷胸的治疗是一个综合复杂的过程,既要注意肺挫伤的处理,也要制止较大的反常呼吸运动,进行有效的氧疗和合理的用药。全组治愈38例,治愈率80.85%,死亡9例,死亡率19.15%。
The diagnosis and therapy of 47 patients with flail chest were analyzed. The complications generated from flail chest were more severe and had a higher incidenec on the lateral chest than on the front and the back, including pulmonary contusion and adult respiration distress syndrome (ARDS),. The range and intensity of the reverse respiratory motion was directly proportional to the pulmonary contusion. The hypertonic mixed solution with crystal and colloid was effective to treat the pulmonary contusion and to prevent ARDS. The treatment of flail chest is synthetic and complicated including the treatment of the pulmonory contusion, elimination of the reverse respiratory motion, administration of oxygen and effective medicines. Of all the cases, 38 patients were recovered with the recovery rate of 80.85%. 9 patients died with the mortatity rate of 19.15%.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1991年第3期153-155,共3页
Chinese Journal of Trauma
关键词
连枷胸
呼吸窘迫
综合征
成人
Flail chest Adult respiratory distress sydrome
