摘要
目的总结创伤性肺血肿的治疗经验。方法 21例胸部创伤后肺血肿患者采取有创治疗3例,非手术治疗18例,对其临床资料,包括致伤因素、合并伤情、血肿大小、治疗措施、远期随访结果进行回顾性分析。结果创伤性肺血肿多合并肺挫伤、肋骨骨折、血气胸,肺血肿直径<20mm组咯血持续时间以及血肿吸收时间明显短于直径>20mm组,差异有统计学意义(P<0.05)。21例获随访4～8个月,预后良好。结论非手术治疗创伤性肺血肿预后良好。
Objective To summarize the experience in the treatment of traumatic pulmonary hematoma. Methods The clinical data of 21 patients with traumatic pulmonary hematoma were retrospectively analyzed. The causative factors of injury, associated injury, hematoma size, therapeutic measure, follow up consequence of pulmonary hematoma were collected. Results The traumatic pulmonary hematoma was related to puhnonary contusion,fractured ribs, hemopneumothorax. The duration of hemoptysis and resolution time of traumatic pulmonary hematoma in the patients with pulmonary hematoma smaller than 20mm were significantly shorter than those with pulmonary hema- toma larger than 20ram, and the statistical difference was significant（P 〈 0.05 ）. There were 3 cases of traumatic treatment and 18 cases of conservative treatment. Totally 21 cases were followed up for 4-8 months, indicating good prognosis. Conclusion Conservative treatment for the traumatic pulmonary hematoma has a good prognosis.
出处
《创伤外科杂志》
2012年第1期31-34,共4页
Journal of Traumatic Surgery
基金
上海市卫生局课题专项基金(2010147)
关键词
胸部创伤
肺血肿
治疗
thoracic injury
pulmonary hematoma
treatment
