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创伤早期胸部合并伤伴休克患者肺部并发症的防治

[Prevention and treatment of pulmonary complications in patients with combined injuries of the chest accompanied by shock in the early period of trauma].

作者信息

Shapot Iu B, Vashetko R V, Novikov A S

出版信息

Vestn Khir Im I I Grek. 1986 Mar;136(3):77-80.

PMID:3727306
Abstract

Complications were noted in 83% of patients with an associated trauma of the chest. Bilateral pneumonia was the most frequent complication (57.7%), then were traumatic pulmonitis (15.9%) and total pulmonary edema (18%). The adequate anesthesia, liquidation of a disturbance of the chest carcass, timely elimination of hemo- and pneumothorax are thought to be the most effective measures of struggle against pulmonary complications in patients in the early period of the trauma disease. The complex treatment has given 1.5 times less amount of pulmonary complications.

摘要

在伴有胸部创伤的患者中,83%出现了并发症。双侧肺炎是最常见的并发症(57.7%),其次是创伤性肺炎(15.9%)和全肺水肿(18%)。充分的麻醉、胸部支架紊乱的清理、及时消除血胸和气胸被认为是创伤疾病早期患者对抗肺部并发症最有效的措施。综合治疗使肺部并发症的数量减少了1.5倍。

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