严重胸部外伤并发ARDS的临床疗效评价.pdfVIP

4ø.-f l叔 2酬年7 月第 16 卷第7 剿 ·论著· 严重胸部外伤并发ARDS 的临床疗效评价 刘世袖韩渝同夹容刘先银汪宇何沛怯 (广东省东莞市人民医院骨科，广东东莞523018) [捕事} 目的许价严重胸部外伤并发A队DS 的恪床特点Jl.救治 A队DS 患者的l胳床疗效。方法对我科 18 例严紫胸外伤并发 ARDS 的原发病、临床特征、人工气i茸的建立、使用呼吸机等进行回顾性的分析和总结。结果 18 伽JA队DS 患者除 1 例因胸部挤压 伤严重，重度休克，抢批无效死亡外，其余 17 例均治愈出院。结论创伤的严重程度、休克、感染、怠性肺损伤是并发ARDS 的主 要Jt除因索。早期气管插管或切升，尽早使用机械i!气，及时有效的抗休克、抗感染是救治成功的关键。 {关键词}严重t胸部外伤;急性呼吸窘迫综合征:人工气道 中困分提号: R655; 日563.8 文献栋i只码:A 文章编号: 1674斗659 (2侃)9) 07-0030吨。2 Evaluation of C胁配划 Effects 00 Severe Chωt Trauma Complicating ARDS LJU Shi呻zhen， HAN Gan-tong, WU Ron品， LIU Xion叩胁， WANG Yu, HE Pei-heng (Dep刷阳ntofO附加Paed，阳， Dongguan Peop的Ho，pitaJ， Don翩翩5230月， China) i [Abstract] Objective To evaluate c1 inical characteri剑tics and curative e伽ωonrem呻伽ωvere chest trauma complicating ARDS. Methods Among 18 case wìth severe chest 衍aurna complicating ARDS , prirnary diseases , clinical characteristics, establishment of artificial air- W町， and 皿e of breathing machine，侃 were analyzed retrospectively and sumrnarized. Resulls Among 18 cωes with ARDS , 17 were cured ω discharge exc叩t 阳t 1cωe was rescued without avail and died due ωsevere chest crush 同山y and severe shωk. Conclusion Severity oftrau- rna, shock, inf忧tion， and acute injury of lungs were rnainly risky factors of complicating ARDS. Early Iifesaver or incision of trachea， ωe of mechanical ventilation as rapidlyωpossible， and prompt, effective anti-shock and anti-infection were keys ωrescue successfully. [Key wo时s] Severe chest trauma; Acute respiratory distress syndrome(础DS); Arti ficial airway 急性呼吸窘迫缩食征(acu怡 respiratory distress syndrome