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[重型颅脑创伤患者肺炎的发病机制与预防]

[Pathogenesis and prevention of pneumonia in patients with severe craniocerebral trauma].

作者信息

Korotkevich A G, Kriuchkov V V, Churliaev Iu A

出版信息

Anesteziol Reanimatol. 1990 May-Jun(3):50-3.

PMID:2396771
Abstract

The results of endoscopic studies of the bronchial tree have been assessed in 150 patients during the acute period of craniocerebral trauma. A correlation has been established between the side and degree of the brain stem damage and the onset of asymmetrical bronchomalacia. The development and signs of the obstructive syndrome within a 2-week post-traumatic period have been demonstrated. The incidence of destructive pneumonia has reduced four-fold. It is concluded that endoscopy of the bronchial tree is highly effective for the prevention of pneumonia in the acute period of severe craniocerebral trauma.

摘要

对150例颅脑创伤急性期患者的支气管树进行了内镜检查评估。已确定脑干损伤的部位和程度与不对称性支气管软化的发生之间存在相关性。证实了创伤后2周内阻塞性综合征的发展和体征。坏死性肺炎的发生率降低了四倍。得出结论,支气管树内镜检查对严重颅脑创伤急性期肺炎的预防非常有效。

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