Keough V, Pudelek B
Loyola University Chicago, Niehoff School of Nursing, Chicago, Illinois, USA.
AACN Clin Issues. 2001 May;12(2):270-81. doi: 10.1097/00044067-200105000-00010.
Pulmonary injuries resulting from blunt chest trauma remain a common clinical entity for critical care and emergency nurses. In this article, the epidemiology and mechanism of injury most often observed in patients with blunt chest trauma are reviewed. Selected pulmonary injuries are discussed in terms of mechanism of injuries, assessment and diagnostic modalities, standard therapies, and cutting-edge therapies used today with a focus on pulmonary contusion. Many advances and experimental therapies currently used in the management of the patient with severe lung injuries are discussed. A case study is presented highlighting a complicated case of a blunt chest injury resulting in severe pulmonary contusion.
钝性胸部创伤导致的肺部损伤仍是重症监护和急诊护士常见的临床病症。本文回顾了钝性胸部创伤患者中最常观察到的损伤流行病学和机制。从损伤机制、评估和诊断方式、标准治疗方法以及当今使用的前沿治疗方法等方面对选定的肺部损伤进行了讨论,重点是肺挫伤。文中还讨论了目前用于治疗严重肺损伤患者的许多进展和实验性治疗方法。本文呈现了一个病例研究,突出了一例导致严重肺挫伤的钝性胸部损伤复杂病例。