Ventilatory Treatment of Flail Chest with Pulmonary Contusion
- VernacularTitle:不同模式下机械通气对连枷胸合并肺挫伤的治疗
- Author:
wei-wei, CAI
;
yong-bing, CHEN
;
chang-zhi, CHEN
- Publication Type:Journal Article
- Keywords:
mechanical ventilation;
flail chest;
pulmonary contusion
- From:Journal of Shanghai Jiaotong University(Medical Science)
2006;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early therapeutic effect of flail chest with pulmonary contusion by using different mode of mechanical ventilation. Methods Twenty-nine patients of flail chest with pulmonary contusion were analysed retrospectively. All the patients were treated with the ventilator Bear1000. Two groups were established: invasion group was treated with SIMV+PEEP(8 cases) and CPAP+PSV (7 cases), noninvasion group was treated with NIPPV(14 cases). Results There was no death in all the patients. CPAP+PSV was more effective than SIMV+PEEP not only in decreasing breath rate and improving hypoxemia but also in decreasing peak inspiratory pressure(P
