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目的探讨成批特重烧伤合并冲击伤的诊断及治疗方法。方法总结和分析一批16例特重烧伤伴肺冲击伤患者的临床资料。结果15例患者在伤后7d内出现肺冲击伤表现,5例并发急性呼吸窘迫综合征,全部并发肺部感染。14例治愈,2例死亡。结论本组患者肺冲击伤的临床表现迟,症状重,胸部X线表现多样。治疗上重点防治多器官功能障碍的发生,采取机械通气、控制感染、改善微循环、保护重要脏器功能等措施都是有效的治疗方法。
Objective To investigate the diagnosis and treatment of severe combined burn injury with impact injury. Methods The clinical data of a group of 16 patients with severe burn with lung injury were summarized and analyzed. Results Fifteen patients showed pulmonary impact injury within 7 days after injury and 5 patients complicated with acute respiratory distress syndrome, all with pulmonary infection. 14 cases were cured and 2 died. Conclusions This group of patients with pulmonary impact injury clinical manifestations of late, symptoms, chest X-ray performance varied. Treatment focus on the prevention and treatment of multiple organ dysfunction, to take mechanical ventilation, infection control, improve microcirculation, protection of vital organs and other measures are effective treatment.