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肺挫伤(pulmonary contusion)是急诊胸部创伤中常见而严重的损伤,易引起急性呼吸窘迫综合征(ARDS)及呼吸衰竭。当今科技及交通的发展所导致的意外伤害不断增加,连枷胸(flail chest)合并肺挫伤越来越常见。其并发症较多,死亡率较高。为了能更好认识及提高对连枷胸合并肺挫伤治疗效果,我们对以下内容进行综述:①肺挫伤的病理生理改变;②连枷胸合并肺挫伤病理生理改变;③连枷胸合并肺挫伤临床表现;④肺挫伤影像学改变;⑤诊治进展。
Pulmonary contusion is a common and severe injury in emergency chest trauma that can cause acute respiratory distress syndrome (ARDS) and respiratory failure. Increasing accidental injuries caused by the development of technology and transportation are more and more common with flail chest and pulmonary contusion. More complications, higher mortality. In order to better understand and improve the therapeutic effect of flail chest combined with pulmonary contusion, we review the following: pathophysiological changes of pulmonary contusion; pathophysiological changes of flail chest and pulmonary contusion; clinical manifestations of flail chest and pulmonary contusion; ④ pulmonary contusion imaging changes; ⑤ diagnosis and treatment progress.