Mechanical ventilation in the treatment of severe pulmonary contusion retrospective analysis of 50 cases.doc

 PAGE \* MERGEFORMAT 6 Mechanical ventilation in the treatment of severe pulmonary contusion retrospective analysis of 50 cases [Abstract] of 50 cases treated by mechanical ventilation in patients with severe pulmonary contusion were retrospectively analyzed. No significant difference in mortality of two groups of patients, but the quality of life of non-controlled ventilation group than the control as well, breathing group. Different breathing pattern respiratory therapy in the mechanical application of severe pulmonary contusion should be determined according to the disease, but early spontaneous respiration can often help reduce the complications of survivors. [Keywords:] pulmonary contusion; mechanical ventilation; treatment Thoracic surgery in our hospital ICU 2000 1 month to December 2008 mechanical ventilation for severe pulmonary contusion, 50 cases achieved good results. Clinical data 1 General information the whole group were 50 patients with severe pulmonary contusion road traffic injuries, 38 males and 12 females; aged 19 to 65 years, mean (35 + -5 years). 42 cases of bilateral injury, unilateral 8 cases. simple chest trauma in 11 cases (22%), multiple injuries in 39 cases (78%). clinical manifestations of irritability, difficulty in breathing, cyanosis, tachycardia, and blood pressure. respiratory rate of 32 ~ 42 times / min, an average of 36 times / min. chest X ray showed a vague shadow sheet. 2 treatment groups were due to blood the whole chest and (or) pneumothorax line closed drainage, closed drainage of which 36 cases of bilateral, difficulty breathing not improved, PaO2 lt;60mmHg, that is mechanical ventilation. Ventilation time of 2 to 15 days average (4 + -3) days. Not breathing and respiratory drive in patients with muscle relaxants when the appropriate application or tranquilizers. While a high dose of glucocorticoid, methylprednisolone 500 ~ 1000mg / d, or dexamethasone 20 ~ 40mg / d, albumin 10 ~ 20g / d to increa