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METHOD OF TREATING RUPTURES AND BRUISES OF LUNGS AND BRONCHI WITH CLOSED TRAUMA OF CHEST BASED ON STANDARDIZATION AND CODING OF TRAUMAS
METHOD OF TREATING RUPTURES AND BRUISES OF LUNGS AND BRONCHI WITH CLOSED TRAUMA OF CHEST BASED ON STANDARDIZATION AND CODING OF TRAUMAS
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机译：基于创伤标准化和编码的胸部闭合性创伤治疗腰椎和支气管破裂和挫伤的方法
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摘要
FIELD: medicine.;SUBSTANCE: invention relates to thoracic surgery. Detecting the patient's pulmonary tissue rupture depth (R), propagation of pulmonary tissue contusion (C). At that, rupture of visceral pleura and surface layer of lung is evaluated as R1, rupture of visceral pleura and lung tissue to intermediate or root layer as R2, rupture and formation of an intrapulmonary hematoma or a pneumatic haematocoelus with diameter of up to 5 cm with integrity of the visceral pleura as R3, rupture and formation of an intrapulmonary hematoma or a pneumatic haematocoelis of more than 5 cm in diameter with preservation of integrity of the visceral pleura as R4. A contusion of one or two bronchopulmonary segments is evaluated as C1, contusion of three - five segments as C2, bruise spread over more than half of the lung as C3. If observing R1 in combination with C1-3, videotorachoscopy and/or closed drainage of pleural cavity is indicated. If observing R2 or R4 with C1-3, urgent surgical treatment is required through thoracotomy. If observing R3 and/or C1-3, conservative treatment is performed - bronchoscopic sanitation and respiratory support.;EFFECT: method enables specifying a clinical diagnosis and optimizing a closed bronchopulmonary injury treatment plan by detecting and evaluating a complex of the most significant descriptors.;1 cl, 3 ex
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机译：技术领域本发明涉及胸外科。检测患者的肺组织破裂深度（R），肺组织挫伤的传播（C）。那时，内脏胸膜破裂和肺表层破裂被评估为R1，内脏胸膜破裂和肺组织至中间层或根部破裂被评估为R2，破裂并形成肺内血肿或直径不超过5 cm的气管红肿内脏胸膜的完整性如R3，破裂并形成直径超过5 cm的肺内血肿或气管血肿，并保留内脏胸膜的完整性如R4。一或两个支气管肺段的挫伤被评估为C1，三至五个节段的挫伤被评估为C2，瘀伤遍布肺的一半以上被评估为C3。如果结合C1-3观察R1，则表明需要进行电镜检查和/或胸膜腔闭式引流。如果用C1-3观察R2或R4，则需要通过开胸手术进行紧急手术治疗。如果观察到R3和/或C1-3，则进行保守治疗-支气管镜卫生和呼吸支持。效果：该方法可通过检测和评估最重要的指标来确定临床诊断并优化闭合性支气管肺损伤治疗计划。 ; 1 cl，3 ex
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