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 Wysłany: Nie 20:24, 20 Mar 2011 Temat postu: Rinse and drain one-way two-way _10097 treatment o |
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One-way and two-way drainage for washing intraventricular hemorrhage in 8 cases
Tian date back to edit Bamboo Chest 1998-09-306 C, T a pulmonary blast injury in 16 cases the performance of chest CT farming city of Jiangsu tower hideous Third People's Hospital (221005) Han Baohua Shangyu Long k - foot 6. From October 1995 to 1997 l2 months, 16 cases of pulmonary blast injury patients also had chest x-ray and chest CT, will now report the results of the comparison as follows. A prison bed information 1.1 General information: l6 patients were transferred in a mine emergency hospital in-patients. Aged 25 to 35 years old, all male,[link widoczny dla zalogowanych], usually healthy, the workers are blasting operation. When the blasting operation. From the job site 5O ~ 100 meters from the nearest 5 cases end in disappointment after the shock wave down, and when that feeling chest tightness. L1 only mild cases of the remaining unstable. After about 3 ~ 5 hours, l6 patients had varying degrees of difficulty breathing, chest tightness, and cyanosis, which fell after the 9 patients who by the impact. 3 hours later were shown to have severe respiratory failure and pulmonary edema. Showed extreme difficulty breathing, severe cyanosis. Large number of foam slightly bloody sputum. Blood gas analysis showed severe hypoxemia and respiratory acidosis, despite tracheotomy, ventilator positive pressure breathing and other rescue measures, resulting in 3 patients died. Ll other cases showed only mild respiratory distress and cyanosis, blood gas analysis showed mild hypoxemia. The symptoms of oxygen therapy and symptomatic improvement after treatment. l_2 chest X-ray examination: l6 patients with chest X-ray showed a lung markings blurred, light transmission decreased, the density of small uneven and patchy pale shadow, 7 cases showed a focal lung swelling, 4 cases of lung bullae, 2 cases of mediastinal emphysema, 2 cases of ribs every angle blunting. 1.3 The chest CT examination in all 16 patients were chest X-ray taken after the chest CT examination Yun (within 6 hours after injury). To lOmm thickness loss from the lungs to the pulmonary end of a continuous scan, all patients with chest CT l6 see the markings can be increased, thickening, blur,[link widoczny dla zalogowanych], uneven thickness, and interruptions. Significantly reduce the transmittance of both lungs, large and high density of scattered clouds flocculent shadows. L5 to see multiple cases where the limitations of emphysema. n cases is too hot can be seen the formation of multiple lung, 7 cases of pleural effusion, mediastinal emphysema in 5 cases, 3 patients with pericardial effusion. l3 patients 1 month after treatment and six months, 2 chest CT review. 2 cases of severe illness which can be seen scattered in both lungs are still patchy high density and multiple pulmonary bullae, emphysema limitations. N cases of the remaining lungs in patients with mild or patchy flocculent clouds were absorbing film, of which 6 cases were still visible there bulla 1.4 autopsy results: 1 fatal cases autopsy showed extensive bleeding lungs, bronchial and alveolar cavity filled with blood, chest with a small amount of blood (about 200mL). Pericardial bleeding. Liver capsule and the liver, spleen shows a small hemorrhage. 2 to discuss the impact of lung injury that is, air blast injury,[link widoczny dla zalogowanych], the war were more common. Usually occurred in some of the accidental explosion of an accident. L6 patients in this group of clearly. Clinical to acute pulmonary edema as the main performance,[link widoczny dla zalogowanych], the chest CT examination can be considered to provide a basis for diagnosis. The Bong disease in the chest x-ray on the performance of the information described in the past more, basically be summarized as follows: (1) increased lung markings, thickening, blur,[link widoczny dla zalogowanych], light transmission difference {(2) patchy {flocculent shadows or clouds (3) bulla and pneumothorax fluid} (4) mediastinal emphysema, rib fractures. However, two-dimensional chest CT three-dimensional imaging to more fully understand more clearly the extent of disease both lungs, with incomparable advantages over the former, the current disease on chest CT images Bong is still the lack of specialized discourse. Our data show that the chest CT of the bulla, focal emphysema, pleural effusion, mediastinal emphysema was significantly higher than the detection rate of x-ray film. Especially the small amount of pericardial effusion, the chest x-ray can not be found on; chest CT findings of the floc density increased cloud shadow. Tip alveolar interstitial pulmonary hemorrhage. 5 patients in this group of patients with severe widespread distribution of both lungs were visible cottony clouds and the associated impact of multiple pulmonary bullae, emphysema and pleural effusion limitations (3 patients with pericardial product tuck). Interstitial pulmonary alveolar hemorrhage more. Severe lung injury. Prognosis is poor. Consistent care and pathology. The chest CT in patients with mild shadow on the clouds are scattered in flocculent t and rare multiple pulmonary bullae, mediastinal emphysema, pleural effusion (accumulation of blood). Ye careless package product occurred. Therefore suggest that performance on the chest CT changes and prognosis of lung pain was positively correlated.
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