连枷胸患者疼痛控制与呼吸道管理的研究进展

Research progress in pain control and respiratory management in patients with flail chest

连枷胸是一种严重的胸部创伤,常合并肺实质损伤,易引起急性呼吸窘迫综合征和呼吸衰竭,临床救治难度较高。手术治疗连枷胸可迅速恢复胸廓稳定性、消除反常呼吸、维护呼吸和循环功能稳定,现已成为临床共识,而包括疼痛控制、呼吸道管理在内的非手术治疗对进一步改善连枷胸患者的预后仍然具有重要作用。笔者就连枷胸患者综合治疗措施中疼痛控制与呼吸道管理的研究进展进行综述,以提高对连枷胸患者疼痛和肺损伤救治的认识,为临床救治和进一步改善连枷胸患者临床预后和生存质量提供参考。

Flail chest is a severe chest trauma that is commonly associated with lung contusion,resulting in acute respiratory distress syndrome and respiratory failure,which brings challenges in clinical management.It has become a clinical consensus that surgical treatment of flail chest can rapidly restore thoracic stability,eliminate paradoxical breathing,and maintain stability of respiratory and circulatory functions.However,non-surgical interventions continue to be crucial in further improving the prognosis of patients with flail chest,such as pain management and respiratory management.In this study,the authors review the research progress in pain control and respiratory management during comprehensive treatment of patients with flail chest for better understanding of pain management and lung injury care,which may provide references for clinical treatment and further improvement of clinical prognosis and quality of life for patients with flail chest.