Martin L V
Department of Anaesthetics, Royal Infirmary, Edinburgh, UK.
J R Coll Surg Edinb. 1993 Feb;38(1):4-8.
The management of crushed chest injuries in the 1950s was unsatisfactory. A survey of these injuries in south-east Scotland in 1955-60 showed a mortality of 76%. The introduction of intermittent positive pressure ventilation carried out in a special unit produced a dramatic improvement in outcome with mortality reduced to 16% in a reported series in 1961-65. Two further similar series of crushed chest injuries treated in the same unit in 1977-81 and 1988-91 are now described. Overall mortality rates have remained the same at 17% and 16%. Details of injuries, management and causes of death are given. It is concluded that intermittent positive pressure ventilation remains the mainstay of treatment and that further improvement in results will be difficult to obtain.
20世纪50年代，胸部挤压伤的治疗效果并不理想。1955年至1960年在苏格兰东南部对这些损伤进行的一项调查显示，死亡率为76%。在一个特殊单位开展的间歇正压通气疗法使治疗结果有了显著改善，在1961年至1965年报道的一系列病例中，死亡率降至16%。现将1977年至1981年以及1988年至1991年在同一单位治疗的另外两组类似的胸部挤压伤病例进行描述。总体死亡率分别维持在17%和16%。文中给出了损伤、治疗及死亡原因的详细情况。得出的结论是，间歇正压通气仍然是主要的治疗方法，而且难以取得进一步的治疗效果改善。
