摘要
连枷胸和肺挫伤是胸部创伤中常见而严重的损伤 ,易引起ARDS及呼吸衰竭。本文对严重胸部创伤时肺挫伤及连枷胸的治疗进展作了复习。镇痛、连枷胸的软化胸壁良好固定、人工呼吸机辅助治疗仍是较好的治疗方法。重点对人工呼吸的呼吸模式作了探讨 ,全部液体 (TLV)和部分液体通气 (PLV)模式较传统的PEEP模式效果优良。
Flail chest and pulmomary contusion is frequent and serious injury in the thoracic surgery, It is easy to induce acute respiratory distress syndrome (ARDS) and respiratory failure. We review treatment progress of flail chest and pulmomary contusion in serious thoracic injury. It is better strategies of easing pain, favourable fixing of flail chest and assistant treating of mechanical ventilation. We also discuss the effects of different respiratory modes, The effect of total liquid ventilation (TLV) and partial liquid ventilation (PLV) is better than positive end-expiratory pressure.
出处
《创伤外科杂志》
2000年第3期184-186,共3页
Journal of Traumatic Surgery
关键词
连伽胸
肺挫伤
部分液体通气
治疗
flail chest
pulmomary contusion
liquid ventilation
