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目的 :总结老年人肺挫伤的诊断及治疗方法。方法 :回顾性分析、总结临床 38例老年人肺挫伤的诊治经过及治疗结果。本组保守治疗 16例 ,胸腔穿刺抽液 6例 ,胸腔闭式引流 14例 ,剖胸探查修补 3例 ,应用呼吸机治疗 18例。结果 :本组年龄 6 0岁以上老年人肺挫伤 38例 ,其中死亡 3例 ,死亡率 7.89% ,其余均治愈。结论 :分析结果表明 ,尽早明确诊断 ,处理合并伤 ,积极应用呼吸机 ,合理应用抗生素及防治并发症是救治成功的关键。
Objective: To summarize the diagnosis and treatment of pulmonary contusion in the elderly. Methods: The retrospective analysis was made on the diagnosis, treatment and treatment of pulmonary contusion in 38 elderly patients. The group of conservative treatment in 16 cases, 6 cases of pleural puncture fluid, closed chest drainage in 14 cases, chest exploration and repair in 3 cases, the application of ventilator in 18 cases. Results: In this group, 38 cases of pulmonary contusion occurred in the elderly over 60 years old, of which 3 died and the mortality rate was 7.89%. The rest were cured. Conclusion: The results show that as soon as possible to confirm the diagnosis and treatment of combined injury, positive application of ventilator, rational use of antibiotics and prevention and treatment of complications is the key to successful treatment.