Blast lung injury: clinical manifestations, treatment, and outcome
Blast lung injury: clinical manifestations, treatment, and outcome
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DOI：
10.1016/j.amjsurg.2005.08.022
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发表时间：
2005-12-01
影响因子：
3
通讯作者：
Schecter, WP
中科院分区：
文献类型：
--
作者：
Avidan, V;Hersch, M;Schecter, WP
背景：爆炸性肺损伤（BLI）是恐怖分子炸弹袭击（TBA）后发病的主要原因，在世界范围内发生率越来越高。然而，许多外科医生和重症监护医生几乎没有治疗BLI的经验。耶路撒冷持续31 TBA自1983年以来，导致在当地的专业知识在治疗BLI.Methods：一项回顾性研究的临床和放射学特征，管理和结果TBA持续BLI的受害者谁被送入ICU在1983年12月至2004年2月。通过电话访谈确定长期结果。结果：29例患者符合纳入标准。胸部X线片显示的缺氧和肺浸润是诊断的必要条件。76%的人需要机械通气，所有这些都在入院后2小时内。1例患者死亡。76%的患者没有长期的后遗症。结论：大多数严重的BLI损伤患者需要机械通气。晚期恶化是罕见的。在爆炸中幸存的病人中死于BLI是不寻常的。及时的诊断和正确的治疗可获得良好的预后。(c)2005 Excerpta Medica Inc. All rights reserved.
Background: Blast lung injury (BLI) is a major cause of morbidity after terrorist bomb attacks (TBAs) and is seen with increasing frequency worldwide. Yet, many surgeons and intensivists have little experience treating BLI. Jerusalem Sustained 31 TBAs since 1983, resulting in a local expertise in treating BLI.Methods: A retrospective study of clinical and radiologic characteristics, management, and outcome of victims of TBAs sustaining BLI who were admitted to ICU during December 1983 to February 2004. Long-term Outcome was determined by a telephone interview.Results: Twenty-nine patients met inclusion criteria. Hypoxia and Pulmonary infiltrates in chest x-ray were sine qua non for the diagnosis. Seventy-six percent required mechanical ventilation, all within 2 hours of admission. One patient died. Seventy-six percent had no long-term sequelae.Conclusions: Most patients with significant BLI injury require mechanical ventilation. Late deterioration is rare. Death because of BLI in patients Who survived the explosion is unusual. Timely diagnosis and correct treatment result in excellent Outcome. (c) 2005 Excerpta Medica Inc. All rights reserved.