5
DOI 10.3877 cma.j.issn.20958773.2019.01.07 ¢£¤200233 HI¥¦71§¨^©#$0MKOL ¦ª¢«¬Email dryangyi aliyun.com · {| · Ø e îv ¡~’ ¶ hb JKL !" MN %& Øeî4f×íaîÌ z HU ìÉKN ä ¼ðîÌ! H 67ã,6 ìɱ²² ³¯áKNæçî5D²³ÒN½ÄÃ-duvTl[GØeî6>x¡À , a b Ø NúûØlñÀU¼àþ D{ ì IARDS ), uv Ä Ñø ËV’_O1ë Ó - d { û ¡~{ì¶KV¶·àáÄÑø¶êÞh(ÝÒ&zâÅc ¥ g ¦ ’_OA *Øeî¶vW+Ó+Øeî¡~¶v-hbhb{| ¡¢KN5îØeî±²²³ Anupdateonrecentadvancesindiagnosisandtherapyofpulmonarycontusion GaoEr iLiYan Guo Xian Yan Yi.De artmento ThoracicSur er Shan haiSixth Peo le'sHos italShan hai JiaoTon Universit Shan hai 200233China Corres ondin authorYan YiEmaildr an gy ali un.com Abstract Pulmonarycontusionisacommondiseaseamongpatientssustainingmultipleinjuries especiallythosewithbluntchesttrauma.Withcommonmultiplecomplicationsincludingribfractures hemopneumothoraxabdominalorganinjuriesandlimbfracturesandlackoftypicalsymptomsatearly stagepulmonarycontusion sometimescan notbe diagnosed and would developto pneumonia atelectasisorevenacuterespiratorydistresssyndromeARDS associated withhigh mortalityrate. Researchershomeandabroadalladvocatepromptandaccuratediagnosisatearlystageandintegrated managementtofurtherimprovetheefficacyandavoidthesubstantialmortalitybutconsolidatedspecific approachesarenotreached.Thisarticleisaliteraturereview oftherecentadvancesindiagnosisand therapyofpulmonarycontusionbasedonrecentstudiesonpulmonarycontusionhomeandabroad. Keywords Chesttrauma Pulmonarycontusion Ribfracture klI¢/FGW£¤¥9:¥£¦§¨ ©ª«¬-®¯°±²³´µ¶·¸9¹/H º»;%I¼½¾WJ:¿£o0112ÀÁ /ÂHÃ{IÄÅ12²ÆÇ:ÈklIÉ rÇÊ*ËkÌ*ÀÍÎhkÏÐWÑIKLÒ ÓÀÔÕÖ×ÙÚÛ²ÜUI 72hÝÞ ßàáâãWä»åæ=5´HMç¯UI7d ^èR¥éêU 10% 20% ëìíHMç¯ :q¹kîï;ÔÕðñä»g acute respiratorydistresssyndrome ARDS ò(kó ôÑIõömn÷Ç÷øù=5÷»Sú¥ éêûüÝ14%40% ýÑIz Morgagniþÿ1761#!"#$/%ÑIW k%IW&TSmithÿ1840#’(# &ýy $ / %ÑIWk%I¥y )#*+WklI¥ y’()F,-. í /0 pq1 Þ 20 23 & 4 526´78:9È#´:klI¥yClemedson;¹í<=z>?#o8@í WklIAB 6XC - DE YUÁ F § 6G Ò9ÈWHIh 8JE YK ; E YLMN W OPMNWkQOPRC-DWSXTU >?#V¯÷ÆW W P NXYZ OPX k Q ÒHB^[8IC - DE Y \ k^ÁÌ S ]h\N^_·¸^[8I1965 #Demuth 5a *klIU/H%IW b ¨ cd V -e £ ¤ f Reidh BairdWgh;¹1E Yÿk HW%I i ¢·¸klIç¯ÔÕóô jk W l · · V/HFGB ¡2019#$&’&( ChinJThoracSurg ElectronicEdition ), Nov2019 Vol.6 No.1

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Page 1: {| Øe ¡~’´¶hb

DOI:10.3877/cma.j.issn.20958773.2019.01.07¢�£¤:200233 HI¥¦71§¨^©#$0MKOL¦ª¢�:«¬,Email:dryangyi@aliyun.com

· {| ·

Øeîv¡~’¶hbJKL !" MN %&

  【��】 Øeî4f×íaîÌ�zHUìÉKNä¼ðîÌ�!H67,ã,6ìɱ²²³、̄ áK、�Næçî、5D²³ÒN½ÄÃ-duv�Tl[G,Øeî6>x¡,�À,ab�Ø

Núû、Øl�,ñÀU‘¼àþ�D{ìI(ARDS),uvÄÑøËV。’_O1�ëÓ�-d{û

¡~、{ì¶�KV¶·,àáÄÑø,oÏ�¶êÞ�h(Ý。Ò�&zâÅc¥g¦’_OA

*Øeî¶vW+Ó,+Øeî¡~¶v­hbhb{|。

【 ¡¢】 KN5î; Øeî; ±²²³

Anupdateonrecentadvancesindiagnosisandtherapyofpulmonarycontusion GaoErjiLiYangGuo

XiangYangYi.DepartmentofThoracicSurgeryShanghaiSixthPeople'sHospitalShanghai

JiaoTongUniversityShanghai 200233China

CorrespondingauthorYangYiEmaildryangyi@aliyun.com【Abstract】 Pulmonarycontusionisacommondiseaseamongpatientssustainingmultipleinjuries

especiallythosewithbluntchesttrauma.Withcommonmultiplecomplicationsincludingribfractures

hemopneumothoraxabdominalorganinjuriesandlimbfracturesandlackoftypicalsymptomsatearly

stagepulmonarycontusionsometimescannotbediagnosed and woulddeveloptopneumonia

atelectasisorevenacuterespiratorydistresssyndromeARDS associatedwithhighmortalityrate.

Researchershomeandabroadalladvocatepromptandaccuratediagnosisatearlystageandintegrated

managementtofurtherimprovetheefficacyandavoidthesubstantialmortalitybutconsolidatedspecific

approachesarenotreached.Thisarticleisaliteraturereviewoftherecentadvancesindiagnosisand

therapyofpulmonarycontusionbasedonrecentstudiesonpulmonarycontusionhomeandabroad.【Keywords】 Chesttrauma Pulmonarycontusion Ribfracture

  klI¢/FGW£¤¥、9:¥,£¦§¨�©、ª«、¬­®¯°±²³´µ¶·¸。9¹/Hº»;%I¼½¾WJ:�,¿£o0112、ÀÁ/、ÂHÃ{I、ÄÅ12²ÆÇ:È。klI�ÉrÇÊ*ËkÌ*À、ÍÎhkÏÐWÑI,KLÒÓÀ、ÔÕÖ×、:Ø、ÙÚÛ²ÜUI�72hÝÞßà,áâãWä»åæ=5´HMç¯UI�7d^èR,¥éêU10%~20%[1];ëìíHMç¯: q ¹ k î、ï ; Ô Õ ð ñ ä » g (acuterespiratorydistresssyndrome,ARDS)�ò(kóôÑI,õömn÷�Ç、÷øù,=5÷»S,ú¥éêûüÝ14%~40%[2]。

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