严重肺挫伤150例诊治体会

Diagnosis and treatment of severe pulmonary contusion in 150 cases

目的:总结肺挫伤的诊断及治疗经验。方法:回顾分析150例肺挫伤患者的诊断、治疗方法及治疗效果。结果:治愈143例,死亡7例。死于创伤性失血性休克2例,重型颅脑损伤2例,急性呼吸窘迫综合征(ARDS)3例。结论:根据病史、胸部X线、CT检查可以明确诊断;保持呼吸道通畅、抗休克、积极治疗合并伤、合理应用机械通气、激素和抗生素是治疗肺挫伤的重要方法;早期诊断并及时处理合并伤是提高抢救成功率的关键。

Objective To explore the diagnostic and therapy experiences of lung contusion. Method Total 150 patients with lung contusion from January 2001 to June 2008 in our hospital were retrospectively analyzed. The diagnosis, therapy and curative effects were discussed. Results Among 150 eases, 143 cases were cured,7 cases died. Two cases died of hemorrhagic shock,2 cases died of severe head injury ,3 cases died of ARDS. Conclusion Chest X - ray and CT are reliable for the diagnosis of pulmonary contusion. The important methods include keeping airway clear, progressively treating of shock and reasonable applying ventilation, steroids as well as antibiotics. The early diagnosis and the prompt treatment of the associated injuries are key to higher cure rates.