Müller R P, Peters P E, Wendt M, Fischedick A R
Anasth Intensivther Notfallmed. 1982 Jun;17(3):145-50.
The x-ray morphology of posttraumatic intrapulmonary haematomas and pneumatoceles is described on the basis of 12 cases in a total of 211 patients with blunt thoracic traumas. The article also reports on the course of these haematomas and pneumatoceles. The problem of the development of a barotrauma through PEEP ventilation is discussed, taking the clinical courses into consideration. A characteristic feature of all the discussed cases was the tendency to spontaneous regression as well as continuous decrease in size roentgenologically; this enabled safe differential diagnosis against other cystic pulmonary changes.
基于211例钝性胸部创伤患者中的12例,描述了创伤后肺内血肿和气囊肿的X线形态。本文还报告了这些血肿和气囊肿的病程。结合临床病程,讨论了通过呼气末正压通气(PEEP)引发气压伤的问题。所有讨论病例的一个特征是有自发消退的趋势,并且在X线片上显示尺寸持续减小;这有助于与其他肺部囊性病变进行安全的鉴别诊断。