摘要
连枷胸是一种常见的胸部钝性伤,多合并肺实质的损伤,易引起急性呼吸窘迫综合征(ARDS)及呼吸衰竭。多层螺旋CT、床旁超声、经食道超声心动图(TEE)及电视胸腔镜是诊断连枷胸和肺挫伤的良好方法。连枷胸合并肺挫伤的治疗较复杂,良好的镇痛、可靠的软化胸壁固定及呼吸机辅助治疗是提高连枷胸合并肺挫伤疗效的关键。本文就连枷胸合并肺挫伤的诊治进展进行了综述。
Flail chest is a common consequence of blunt trauma, which is most often accompanied by pulmo- nary parenchymal injury and can be a life - threatening thoracic injury. It is easy to induce acute respiratory distress syndrome （ARDS） and respiratory failure. Better diagnosis was gained with muhilayer spiral CT, transesophageal echocardiography, transthoracic echocardiography, video-assisted thoracic surgery. Its treatment is complex. Easing pain, favoural^le fixing of flail chest and assistant treating of mechanical ventilation are key strategies to improve treatment efficacy with traumatic flail chest combined with pulmomary contusion. We reviewed diagnosis and treat- ment progress of flail chest and pulmomary contusion in serious thoracic injury.
出处
《创伤外科杂志》
2009年第4期372-373,380,共3页
Journal of Traumatic Surgery
关键词
胸部损伤
连枷胸
肺挫伤
机械通气
thoracic trauma
flail chest
puhnomary contusion
mechanical ventilation
