CAJ | 학술논문

目的探讨瓦斯爆炸伤致肺部爆震伤的临床流行病学特点.方法回顾1990年1月至2010年12月平顶山煤业集团医院132名瓦斯爆炸致肺部爆震伤患者的临床资料,对就诊情况、肺部损伤情况、合并伤、治疗情况及死亡情况等进行分析.结果 56例患者入院时意识清楚,其中30例1～5 d出现咳嗽、咯血等肺部症状,7例出现血胸,11例出现血气胸,86例患者合并烧伤,96例复合肺吸人性损伤,41例腹部脏器爆震伤,76例并发肺部感染,31例发生休克,7例患者因呼吸衰竭死亡,2例发生多器官功能衰竭.结论肺爆震伤入院时外伤轻,内伤重,复合伤及并发症多,伤情复杂,诊断困难,胸部X线片表现多样,死亡率高,大部分肺爆震伤患者需气管切开及机械通气,及时气管切开、机械通气是影响预后的主要措施.
목적 탐토와사폭작상치폐부폭진상적림상류행병학특점.방법 회고1990년1월지2010년12월평정산매업집단의원132명와사폭작치폐부폭진상환자적림상자료,대취진정황、폐부손상정황、합병상、치료정황급사망정황등진행분석.결과 56례환자입원시의식청초,기중30례1～5 d출현해수、각혈등폐부증상,7례출현혈흉,11례출현혈기흉,86례환자합병소상,96례복합폐흡인성손상,41례복부장기폭진상,76례병발폐부감염,31례발생휴극,7례환자인호흡쇠갈사망,2례발생다기관공능쇠갈.결론 폐폭진상입원시외상경,내상중,복합상급병발증다,상정복잡,진단곤난,흉부X선편표현다양,사망솔고,대부분폐폭진상환자수기관절개급궤계통기,급시기관절개、궤계통기시영향예후적주요조시.
Objective To investigate the cliniocal epidemiological teatures.of blast injury of lungs caused by gas explosion.Methods A retrospective analysis of 132 cases of blast injury of lungs caused by gas explosion injuries in our hospital from 1990 to 2010 were made,including the information of lung injury,associated injuries,treatment and mortality.Results 56 patients were conscious on admission,during 1 ～5 days,30 patients got cough,hemoptysis and other pulmonary symptoms,7 patients had hemothorax,11 cases combined with pneumothorax,86 cases of patients with bums,96 cases with pulmonary aspiration compound injury,41 cases with abdominal organs blast injuries,76 cases with pulmonary infection,31 cases with shock,Seven patients died of respiratory failure,two patients died of respiratory failure.Conclusion Blast injury of lung featured with serious internal injuries,combined with many injuries,The incidence of compond injury was high,and it was difficult to diagnose.Chest X-ray were varied.The mortality was high,and the predominant causes of death were respiratory failure,shock,sepsis.Most patients with blast injury of lung need tracheotomy and mechanical ventilation.Timely tracheotomy,mechanical ventilation were the major prognostic measures.