Mechanical ventilation in patients with severe traumatic wet lung complicated with ARDS 41 Cases_0.doc

 PAGE \* MERGEFORMAT 11 Mechanical ventilation in patients with severe traumatic wet lung complicated with ARDS 41 Cases [Abstract] Objective To investigate the use of mechanical ventilation ventilation on severe traumatic wet lung with acute respiratory distress syndrome (ARDS effective treatment method. Methods 41 patients with severe traumatic wet lung complicated with ARDS patients, rapid establishment of artificial airway, the use of low volume, high respiratory rate, method of assisted ventilation therapy, respiratory care and to strengthen management, to maintain airway patency, to take time to correct shock and maintain water, electrolyte, acid-base balance and other measures, the use of mechanical ventilation before and after the HR, R, SpO2 and monitoring of blood gas analysis. Results after the use of mechanical ventilation, assisted ventilation, 41 patients were compared with the observed indicators have shown improvement before use (P lt;0.05 or P lt;0.01. Conclusions Mechanical ventilation ventilation treatment of severe traumatic wet lung complicated with ARDS , the effect is significant. [Keywords:] Wounds and injuries, pulmonary edema, respiratory distress syndrome, intensive care unit, ventilator, suction, care Traumatic wet lung to the chest injury in the lung tissue caused by congestion, interstitial pulmonary edema or bleeding, lack of surfactant, ventilation / perfusion imbalance, such as integrated disease, most patients complicated by acute respiratory distress syndrome (ARDS) . The case fatality rate can be as high as 50% to 70% [1]. our hospital in July 2002 ~ July 2008 with severe chest trauma were treated traumatic wet lung 41 patients, mechanical ventilation treatment, satisfactory results, we now care measures are summarized below. 1 Materials and Methods 1.1 General Information The group of 41 cases, 29 males and 12 females. Aged 16 to 62 years old, average 42.2 years old. Injury severity using injury scale - inj