Sommerwerck D
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:523-8.
Inadequate knowledge of the variety of residual functional lesions after a chest trauma accounts for the inconsistent assessment of these sequelae. An accurate analysis of the mode of the accident and the subsequent course greatly helps towards clarifying the situation. A final assessment should not be made until at least one year later, since improvement in respiratory function may still occur up to 12-18 months after the trauma. Tests of respiratory function should include all componente factors (ventilation, mechanics of breathing, diffusion, perfusion). An analysis of 41 cases submitted for assessment of residual respiratory lesions showed that lung scanning is the most sensitive method for detecting such damage. It revealed pathological changes in 94% of the cases, as compared with spirometric test (59%) and examination of the mechanics of breathing (33%). Whether and to what extent reduced perfusion without ergo-spirometric evidence of impairment should qualify as residual damage is a moot point.
对胸部创伤后残留功能损害的多样性认识不足，导致对这些后遗症的评估不一致。准确分析事故模式及后续病程，对厘清情况大有帮助。最终评估应至少在一年后进行，因为创伤后12至18个月呼吸功能仍可能改善。呼吸功能测试应包括所有组成因素（通气、呼吸力学、弥散、灌注）。对41例提交评估残留呼吸损害的病例分析表明，肺部扫描是检测此类损伤最敏感的方法。与肺活量测定试验（59%）和呼吸力学检查（33%）相比，它在94%的病例中发现了病理变化。在没有运动肺活量测定损害证据的情况下，灌注减少是否以及在何种程度上应被视为残留损害，这是一个有争议的问题。
