48例严重肺挫伤的诊治分析

Diagnosis-therapy and analysis on 48 cases of severe pulmonary contusion

目的 总结严重肺挫伤后早期诊治方法和经验。方法 将 48例严重肺挫伤患者分为两组 ,早期诊治组 2 9例 ,一般治疗组 19例。早期诊治包括早期诊断、进行科学的容量支持和配合糖皮质激素等综合救治 ;一般治疗指对确诊患者进行一般的呼吸支持、氧疗和容量支持等救治措施。比较两组间肺部感染、ARDS、MODS、脓毒症等并发症的发生率 ,以及呼吸机使用天数和住院天数。结果 早期诊治组呼吸治疗后缺氧改善较一般治疗组快而明显 (P <0 0 1) ,使用呼吸机的天数较一般治疗组明显缩短 ,且ARDS的发生率亦明显低于一般治疗组 (P <0 0 5 ) ,但肺部感染发生率和住院天数两组间无明显的差异。结论 早期诊治能快速改善患者缺氧状况 ,减少呼吸机治疗天数 。

Objective To analyzed the effect of early diagnosis-therapy on severe pulmonary contusion.Methods 48 patients suffered from pulmonary contusion were divided into two groups:early diagnosis-therapy group(n=29);general therapy group(n=19).Early diagnosis-therapy includes early diagnosis,proper fluid support and glucocorticoid,et al. The morbidity of pulmonary infection,ARDS,MODS,and sepsis were compared between the two groups.Results Hypoxia was improved dramatically in early diagnosis-therapy group.The time for ventilator therapy is obviously shorter in early diagnosis-therapy group than that in general therapy group.The morbidity of pulmonary infection and days of hospital stay were not significant difference between the two groups.Conclusion Early diagnosis-therapy for pulmonary contusion could markedly alleviate hypoxia,reduce the time of hospital stay,and lower the morbidity of ARDS. [