连枷胸合并肺挫伤研究进展

Research Progress of Flail Chest with Pulmonary Contusion

肺挫伤(pulmonary contusion)是急诊胸部创伤中常见而严重的损伤,易引起急性呼吸窘迫综合征(ARDS)及呼吸衰竭。当今科技及交通的发展所导致的意外伤害不断增加,连枷胸(flail chest)合并肺挫伤越来越常见。其并发症较多,死亡率较高。为了能更好认识及提高对连枷胸合并肺挫伤治疗效果,我们对以下内容进行综述:①肺挫伤的病理生理改变;②连枷胸合并肺挫伤病理生理改变;③连枷胸合并肺挫伤临床表现;④肺挫伤影像学改变;⑤诊治进展。

Pulmonary contusion is frequent and a serious injury in the chest trauma patients in emergency department.And it is easy to induce acute respiratory distress syndrome(ARDS) and respiratory failure.Since the development of modern technology and transportation,flail chest with pulmonary contusion happens more frequently than the past.And its complications and mortality are higher.In order to understand it better and improve the effect of the therapy on flail chest with pulmonary contusion,we reviewed the relative literatures.In this article,the main contents are as followed:① The pathophysiological changes of pulmonary contusion;② The pathophysiological changes of flail chest with pulmonary contusion;③ Clinical manifestation of flail chest with pulmonary contusion;④ Imaging change of flail chest with pulmonary contusion;⑤ progress in diagnosis and treatment.