摘要
目的:总结重症胸部创伤并发急性呼吸窘迫综合征的临床治疗经验。方法:分析50例重症胸部创伤并发急性呼吸窘迫综合征患者的临床资料、治疗措施、治疗后24h内主要血气值:PaO2、PaCO2及PaO2/FiO2的变化及疗效。结果:治疗前与治疗后2h、治疗后24h的PaO2、PaCO2、PaO2/FiO2差异均有统计学意义(P<0.01);治愈39例,治愈率为78%,死亡11例,死亡率为22%。结论:应采取综合治疗方案,全身用药的前提下首先采用保护性机械通气,再对创伤器官进行处理。
Objective： To explore clinical treatment of acute respiratory distress syndrome （ARDS） due to severe chest trauma. Methods： Clinic data of 50 ARDS patients with severe chest trauma were analyzed retrospectively, including treatment, the changes of PaO2 ,PaCO2 and PaO2/FiO2 in 24 hours after treatment and curative effect. Results： There were significant differences in PaO2 ,PaCO2 and PaO2/FiO2 among these value before, 2 h after treatment and 24 h after treatment（P〈0.01）. 39 patients were cured with cure rate as 780/oo ; 12 patients were dead,with mortality as 22%. Conclusions： Protective mechanical ventilation with general administration is effective on ARDS. Then the treatment of trauma organs can be applied.
出处
《海南医学院学报》
CAS
2011年第11期1513-1515,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110417)~~
关键词
急性呼吸窘迫综合征
重症胸部创伤
机械通气
Acute respiratory distress syndrome
Severe chest trauma
Mechanical ventilation
