Krumhaar D, Mollinedo J
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:422-4.
A 72-years old man was severely injured when a lorry rolled back and pinned him down, causing contusion of the chest, fractures of ribs 3-10 on the right and haemothorax. Treatment of the chest injuries was by drainage and by positive end-expiratory pressure ventilation because of the development of severe pneumonia with wet lung. Persistent renal insufficiency, a gastro-intestinal haemorrhage and diabetes also required treatment. The patient developed septic endomyocarditis as a late complication, possibly attributable to the central venous catheter. All pulmonary and extrapulmonary injuries and complications could be set right during the patient's 4-months' stay in the intensive care unit.
一名72岁男子被一辆倒车的卡车撞倒并被压住，造成胸部挫伤、右侧第3至10肋骨骨折和血胸，伤势严重。由于出现严重肺炎伴湿肺，胸部损伤采用引流和呼气末正压通气治疗。持续性肾功能不全、胃肠道出血和糖尿病也需要治疗。患者后期出现感染性心内膜炎，可能与中心静脉导管有关。在患者入住重症监护病房的4个月期间，所有肺部和肺外损伤及并发症均得到妥善处理。
