بررسی پاتوفیزیولوژی و درمان کانتیوژن ریوی

نوع مقاله : مقاله مروری

نویسندگان

1 استادیار گروه جراحی عمومی، دانشگاه علوم پزشکی شیراز، بیمارستان شهید رجایی، مرکز تحقیقات تروما

2 استاد گروه جراحی عمومی، دانشگاه علوم پزشکی شیراز، بیمارستان شهید رجایی، مرکز تحقیقات تروما

3 دانشیار گروه جراحی عمومی، دانشگاه علوم پزشکی شیراز، بیمارستان شهید رجایی، مرکز تحقیقات تروما

چکیده
کانتیوژن ریوی به آسیب عروق آلوئولی، بدون پارگی در بافت ریوی اطلاق می‌گردد. آسیب قفسه صدری و عوارض ناشی از آن، مسئول بیش از 25 درصد مرگ و میر در بیماران با ترومای غیرنافذ می‌باشد. کانتیوژن ریوی به عنوان شایعترین آسیب در بیماران با ترومای غیرنافذ قفسه صدری است که شیوع 25 تا 75 درصد دارد. به علت عدم شناخت کامل پاتوفیزیولوژی و عدم وجود دستورالعمل‌های درمانی مناسب، میزان مرگ و میر ناشی از کانتیوژن ریوی تغییر واضح نداشته است. در حال حاضر، تضادهای درمانی به خصـوص در زمینه مایع درمانی و حمایت تنفسی در بیماران مبتلا به کانتیوژن ریوی وجود دارد. هدف از این بررسی، بررسی کمّیت و کیفیـت یافته‌های علمی، جهـت پاسخ به سـؤالات شایع می‌باشد. در ابتدا جستجـوی کامپیـوتری در Med Line، PubMed و Elsevier جهت بررسی مقـالات انگلیسی مـرتبط با سؤالات موجود تا تاریخ 2016 انجـام شد. از دو واژه کلیدی "کانتیوژن ریوی" و "ترومای قفسه سینه" جهت بررسی استفاده گردید.

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