胸部创伤中的肺挫伤与重症监护管理

Pulmonary contusions and critical care management in thoracic trauma.

作者信息

Sutyak John P, Wohltmann Christopher D, Larson Jennine

机构信息

Southern Illinois Trauma Center, Southern Illinois University, P.O. Box 19663, Springfield, IL 62794, USA.

出版信息

Thorac Surg Clin. 2007 Feb;17(1):11-23, v. doi: 10.1016/j.thorsurg.2007.02.001.

DOI:10.1016/j.thorsurg.2007.02.001

PMID:17650693

Abstract

Many victims of thoracic trauma require ICU care and mechanical ventilatory support. Pressure and volume-limited modes assist in the prevention of ventilator-associated lung injury. Ventilator-associated pneumonia is a significant cause of posttraumatic morbidity and mortality. Minimizing ventilator days, secretion control, early nutritional support, and patient positioning are methods to reduce the risk of pneumonia.

摘要

许多胸部创伤患者需要重症监护病房（ICU）护理和机械通气支持。压力和容量限制模式有助于预防呼吸机相关性肺损伤。呼吸机相关性肺炎是创伤后发病和死亡的重要原因。尽量减少机械通气天数、控制分泌物、早期营养支持和患者体位摆放是降低肺炎风险的方法。