目的 探讨高海拔地区肺挫伤的特点,以提高临床治疗效果.方法 回顾性分析82例肺挫伤患者的症状、体征及相关检查和综合治疗.结果 82例患者经综合治疗治愈67例(81.7％),15例需应用机械通气,死亡9例,死亡率11％.结论 高原地区肺挫伤患者承受原发性低氧、低气压和继发性肺创伤的双重打击,高原肺水肿(HAPE)和呼吸窘迫综合症(ARDS)可同时存在.低氧血症出现早,病情变化快,死亡率高.%Objective To analyze and summarize the features of patients with severe pulmonary contusion and improve the treatment effect. Methods The clinical data of 82 cases were retrospectively analyzed. According to their symptoms, physical signs and related findings. We treated the patients systematically including management of the primary wound. Results 15 cases were treated with mechanical ventilation in time. 67 cases were treated by oxygen therapy. 9 patients were died. The mortality was 11%. Conclusion Before treatment, the patients are suffer from original hypoxemia, hypobraria and secondary pulmora respiratatory distress syndrome, with early stage stagery contustions, HAPE (high altitude pulmonary edema) usually associated with ARDS(acute respiratory distress syndrome).
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