Therapy of Lung Severe Contusion and Respiratory Insufficiency By Ventilator Improved Respiration (38 Cases Reports)
- VernacularTitle:辅助呼吸治疗重度肺挫裂伤伴呼吸功能不全(附38例报告)
- Author:
Ruixiang WANG
;
Chunling CHAI
;
Yongkun CUI
- Publication Type:Journal Article
- Keywords:
Lung severe contusion;
Pathogenesis;
Ventilator-improved-respiration
- From:
Journal of Chinese Physician
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the pathogenesis,diagnosis and therapy for severe lung contusion.Methods 38 cases of severe lung contusion were observed.On the basis of lung contusion,the patients suffered from mltiple organs trauma,or abdomino-thoracic combinative trauma all of the patients were comprehansive treated with assited ventilation,antishock,high dasage hormone in short-time,dehydrating agent and diuretics therapy etc.Simultaneously,all of concurrent trauma were also reasonably managed timely which including closed thoracic drainage,open chest hemostasis,scavenging hematoma with craniotomy laparosplenotomy,hepatospleno-repair,gastroenterostomy,lower or upper extremity open reduction and extration etc.Results By oxygen inhalation comprehensive treatment did not improve the dyspnea symptom of severe lung contusion when the blood oxygen saturation was lower than 85% and further fall,the severe lung contusion patients were obviously improved by assited ventilation with respirator.Conclusions Using assited ventilation could raise the cure rate for the severe lung contusion,and simultaneously,early diagnosis and comprehansive treatment in time have identical importance.
