摘要：目的：提高严重肺挫伤的诊治认识。方法：对36例严重肺挫伤患者的临床资料进行回顾性分析。结果：36例严重肺挫伤患者中，临床治愈28例，死亡8例。结论：严重胸外伤患者如出现进行性咯血、呼吸困难、发绀及肺部斑点状或片状高密度阴影要考虑到严重肺挫伤并发急性呼吸窘迫综合征(ARDS)的可能，应早期进行有创机械通气、纠正低氧血症、大剂量激素和抗生素及并发症治疗等综合治疗措施。

    关键词：肺挫伤；ARDS；机械通气

    The Diagnosis and Treatment Experience of 36 Cases of Severe Pulmonary Contusion

    DENG Shu-kai, ZHENG Ying, TANG Rui

    (The First Affiliated Hospital to Luzhou Medical College, Sichuan Luzhou 646000, China)

    Abstract： Objective： To improve the clinical theory of diagnosis and treatment of severe pulmonary contusion. Method： The clinical data of 36 cases of severe pulmonary contusion was reviewed. Result： Among 36 cases of severe pulmonary contusion, 28 cases were fully recovered and 8 died. Conclusion： The patients should be given synthesized therapy including invaded mechanical ventilate, corrected hypoxidosis, high-dose hormone and antibiotics and complications, when the patients with severe chest trauma appear progressive emptysis, dyspnea, cyanopathy, and stains or pieces of high-density shadow in chest X-ray. ......