@article{oai:niigata-u.repo.nii.ac.jp:00019246, author = {富樫, 賢一 and 佐藤, 良智 and 高橋, 善樹 and 山本, 和男}, issue = {7}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Jul}, note = {Forty cases of lung injury were seen in our intensive care unit over 5-year period (1988 to 1992). 32 patients sustained motor vehicle accident-related blunt chest injuries, and eight patients had blunt chest injuries from fall. Pulmonary contusion (n=40) was the most frequent lesion seen, followed by posttraumatic effusion (n=36) and rib fracture (n=29). 18 patients required assisted ventilation. Thirty (83%) of 36 patients with radiologically evident posttraumatic pleural effusion had intercostal chest drainage. Four patients underwent surgery. All patients but three survived with good late results. Between 1983 and 1993, nine patients with lung injury underwent the operation, including pneumonectomy (n=1), lobectomy (n=3), pneumorrhaphy (n=4) and exploration (n=1). Three (33%) died. During the same period, one patients with carinal disruption, two with ruptured diaphragma, and two with cardiac tamponade survived following surgery, while all patients but one died after surgery for cardiac and/or aortic injuries. It may be concluded that the prognosis of the patients with the chest injuries depends on how fast they can be carried to the Emergency and Critical Care Medical Center.}, pages = {492--495}, title = {3) 胸部外傷患者治療の進歩と課題(シンポジウム 救急医療 : 重度外傷治療の進歩と今日の課題, 第492回新潟医学会)}, volume = {108}, year = {1994} }