中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2012年
7期
613-616
,共4页
谭远康%孔令文%都定元%赵兴吉%苏泓洁%张为民
譚遠康%孔令文%都定元%趙興吉%囌泓潔%張為民
담원강%공령문%도정원%조흥길%소홍길%장위민
胸部损伤%肺%血肿%囊肿%手术/非手术处理
胸部損傷%肺%血腫%囊腫%手術/非手術處理
흉부손상%폐%혈종%낭종%수술/비수술처리
Thoracic injuries%Lung%Hematoma%Cysts%Surgery%nonsurgical management
目的 探讨创伤性肺内血肿或血气囊肿的处理规范.方法 对我院1999年8月-2010年8月救治的21例创伤性肺内血肿或血气囊肿患者(AIS≥4)资料进行回顾性分析.结果 (1)全组病死率为14％(3/21),死因为呼吸道大出血窒息；(2)67％(14/21)伴有咯血症状,咯血时间为1～240d,平均15.8d,肺内血肿或血气囊肿咯血时间约为单纯肺气囊肿咯血时间的3.4倍；(3)肺内血肿或囊肿消失时间平均为61.6d,其中肺内血肿和血气囊肿消失时间为单纯肺气囊肿消失时间的3.4倍.(4)肺内血肿或血气囊肿大小及部位影响救治方式、救治结局及预后.结论 规范创伤性肺内血肿或血气囊肿的治疗是提高救治成功率的关键,对直径＞6.0cm的肺内血肿或血气囊肿以及肺气囊肿伴重度漏气呼吸不能维持者需及早行确定性手术.
目的 探討創傷性肺內血腫或血氣囊腫的處理規範.方法 對我院1999年8月-2010年8月救治的21例創傷性肺內血腫或血氣囊腫患者(AIS≥4)資料進行迴顧性分析.結果 (1)全組病死率為14％(3/21),死因為呼吸道大齣血窒息；(2)67％(14/21)伴有咯血癥狀,咯血時間為1～240d,平均15.8d,肺內血腫或血氣囊腫咯血時間約為單純肺氣囊腫咯血時間的3.4倍；(3)肺內血腫或囊腫消失時間平均為61.6d,其中肺內血腫和血氣囊腫消失時間為單純肺氣囊腫消失時間的3.4倍.(4)肺內血腫或血氣囊腫大小及部位影響救治方式、救治結跼及預後.結論 規範創傷性肺內血腫或血氣囊腫的治療是提高救治成功率的關鍵,對直徑＞6.0cm的肺內血腫或血氣囊腫以及肺氣囊腫伴重度漏氣呼吸不能維持者需及早行確定性手術.
목적 탐토창상성폐내혈종혹혈기낭종적처리규범.방법 대아원1999년8월-2010년8월구치적21례창상성폐내혈종혹혈기낭종환자(AIS≥4)자료진행회고성분석.결과 (1)전조병사솔위14％(3/21),사인위호흡도대출혈질식；(2)67％(14/21)반유각혈증상,각혈시간위1～240d,평균15.8d,폐내혈종혹혈기낭종각혈시간약위단순폐기낭종각혈시간적3.4배；(3)폐내혈종혹낭종소실시간평균위61.6d,기중폐내혈종화혈기낭종소실시간위단순폐기낭종소실시간적3.4배.(4)폐내혈종혹혈기낭종대소급부위영향구치방식、구치결국급예후.결론 규범창상성폐내혈종혹혈기낭종적치료시제고구치성공솔적관건,대직경＞6.0cm적폐내혈종혹혈기낭종이급폐기낭종반중도루기호흡불능유지자수급조행학정성수술.
Objective To investigate the standards for management of traumatic intrapulmonary hematoma and hematocele.Methods A retrospective study was conducted on the data of 21 patients with traumatic pulmonary hematoma or hematocele (AIS≥4 points) treated at Chongqing Emergency Medical Center from August 1999 to August 2010.Results The overall mortality was 14％ (3/21)and death causes were respiratory passage hemorrhea and asphyxia.About 67％ of patients ( 14/21 ) were associated with hemoptysis,which lasted for 1-240 days (mean,15.8 days).The duration of hemoptysis due to traumatic intrapulmonary hematoma hematocele was about 3.4 times longer than that due to simple traumatic pneumatocele.The hematoma or cyst disappeared at average 61.6 days,with 3.4 times longer than the disappearance time of intrapulmonary hematoma or hematocele in comparison with that of simple pneumatocele.The size and position of traumatic pulmonary hematoma or pneumatocele influenced the treatment methods,outcomes and prognosis.Conclusions Standardized treatment for traumatic pulmonary hematoma or hematocele is key to improving the cure rate.Early emergency definitive surgery is required for patients with traumatic intrapulmonary hematoma or hematocele greater than 6.0 cm in diameter and for those with pneumatocele greater than 6.0 cm in diameter combined with incapability of keeping breathing due to severe air leakage.
