title: [Experiences in the therapy of lung contusions. Retrospective study of 424 patients].
abstract: A group of 424 patients diversely injured with a lung contusion was examined on problems of diagnosis and therapy. Additional injuries and the modes of accident were helpful in deciding on early mechanical ventilation. Waiting for a deterioration of blood gas analysis or a positive x-ray proved to be too harmful. These rules together with exclusive application of PEEP-Ventilation correlates with a decrease in lethal outcome from 28.1% in 1974 with a mortality rate of 18.8% of pulmonary insufficiency to 8% in 1983 with a lethality of less than 2% of pulmonary insufficiency.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002245:Carbon Dioxide / Q000097:blood; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011175:Positive-Pressure Respiration; D011379:Prognosis; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000628:therapy*
chemical_list: D002245:Carbon Dioxide; D010100:Oxygen
vernacular_title: Erfahrungen in der Therapie der Lungenkontusion. Retrospektive Studie über 424 Patienten.