Mechanical ventilation in the treatment experience of 41 cases of severe chest trauma.docVIP

 PAGE \* MERGEFORMAT 9 Mechanical ventilation in the treatment experience of 41 cases of severe chest trauma [Abstract] Objective: To investigate the mechanical ventilation on the treatment of severe chest trauma. Methods: A retrospective hospital 2000-02-2010-05 months, 41 patients with severe chest trauma patients in the treatment process. Results: The mechanical ventilation time was 2 ~ 19d The average 7.6d; 35 patients were cured, the cure rate 85.3%; 5 patients died, gave up treatment in 1 case. The cause of death, 2 patients died of multiple gas Officer dysfunction syndrome (MODS), 2 patients died of acute respiratory distress syndrome (ARDS), 1 patient died of sepsis caused by infection. Conclusion: Early diagnosis and early treatment of mechanical ventilation can effectively improve the survival rate of patients with severe chest trauma. [Keywords:] chest; injury; respiratory insufficiency; respiratory distress syndrome / adult In recent years, China’s transportation and construction business with the rapid development of traffic accidents, heavy objects buried, high-altitude falls and other accidents have occurred, chest trauma patients also tended to increase, in which more severe chest trauma of serious chest injury in internal organs , a relatively short time can be life threatening. 2000-02-2010-05 on our department were treated 132 patients with severe chest trauma patients, 41 patients were treated with mechanical ventilation, the effect is satisfactory, the report is as follows. 1 Materials and Methods 1.1 General Information 41 cases, 30 males and 11 females; age from 14 to 68 years, mean age 40.2 years. The causes of injury: 31 cases of traffic accidents, fall injuries in 4 cases, 4 cases of crush injury, multiple stab 1 case, 1 case of bovine top Injury. open injury in 3 cases, 38 cases of closed injury. unilateral multiple rib fractures in 23 cases, bilateral multiple rib fractures in 18 patients. All patients with various deg