Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA
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Di Yi Jun Yi Da Xue Xue Bao · Oct 2005
[Clinical observation and treatment of extensive severe burn accompanied by blast injury of the lungs].
To elaborate on the diagnosis and treatment of blast injury of the lungs in extensively burned patients. ⋯ These patients often have delayed onset of clinical manifestation, severe symptoms of long duration, with high rate of pulmonary infection and pleural effusions, and variable manifestations in chest X-ray easily confused with pulmonary infections. Attention should be given to management of multiorgan dysfunction syndrome and adequate transfusion. Low tide volume lung-protective ventilation strategy and lung recruitment measures may prove beneficial. Prevention and management of ventilator-associated pneumonia, pulmonary infection and wound infection, along with improvement of microcirculation, organ function protection and intensive nutrition support, are effective treatments for patients with blast injury of the lungs and extensive burns.