创伤性湿肺70例诊治分析

Diagnosis and treatment of traumatic wet lung:Analysis of 70 cases

目的:总结创伤性湿肺的诊断与治疗经验。方法:70例经临床及影像学检查确诊并均有合并伤的创伤性湿肺患者,在积极处理合并伤的前提下,应用静脉镇痛泵,限制输液速度和补液量,合理使用激素、抗生素和利尿剂等,必要时使用人工呼吸机辅助呼吸。结果:全组治愈67例;病死3例,2例死于呼吸窘迫综合征,1例死于脑外伤。结论:创伤性湿肺合并伤发生率高;积极处理合并伤,有效的镇痛,针对肺水肿采取综合治疗手段,并及时使用呼吸机支持呼吸是创伤性湿肺的治疗原则。

Objective： To summarize the experience of diagnosing and treating the traumatic wet lung. Methods： Seventy patients were diagnosed as traumatic wet lung by clinical and imageolcgy examination. All of them had concomitant injuries which were managed actively. The patients were applied the vein ease pain pump, corticosteroids, antibiotic and diuretic to confine the velocity and volume of transfusion. The ventilator was used when necessary. Results： Sixty-seven patients were cured and 3 patients died. The causes of death were acute respiratory distress syndrome（2 patients） and severe cerebral trauma（ 1 patient）. Conclusions： The incidence of concomitant injuries is high in patients with traumatic wet lung. Active management of the concomitant injuries, effective relief of the pain, comprehensive treatment of pulmonary edema and proper use of mechanical ventilator are the key to the treatment of traumatic wet lung.