严重胸部外伤伴呼吸功能不全早期辅助通气治疗体会  

Study on the mechanical ventilation in management of 28 multiple trauma patients with thoracic injury accompanied respiratory dysfunction

作　　者：肖接承[1] 华菲[1] 屈云剑[1] 陈建荣[1] 金钧[1] 郭强[1] 黄坚[1] 汪智卿[1] 陆士奇[1] 

机构地区：[1]苏州大学附属第一人民医院急诊科,215006

出　　处：《中国现代医药杂志》2006年第1期10-11,共2页Modern Medicine Journal of China

摘　　要：目的探讨多发伤中重度胸部外伤并发急性呼吸功能不全的辅助通气治疗原则。方法回顾分析28例严重胸部外伤并发急性呼吸功能不全的辅助通气治疗经过,呼吸机辅助通气模式为IPPV或SIMV加PEEP。结果机械辅助通气后,pH值、PaO2、PaCO2明显改善,与通气前相比,差异有显著性意义(P<0.01);26例成功撤机,2例死亡。结论辅助通气治疗多发伤中胸部外伤伴呼吸功能不全患者效果肯定;早期诊断和治疗急性呼吸功能不全,正确地使用呼吸机治疗并及时处理多发伤和休克是降低本病死亡率的有效措施。Objective To evaluate the experience of clinical management on mechanical ventilation in management of multiple trauma patients with thoracic injury accompanied respiratory dysfunction. Methods 28 cases were treated with mechanical ventilation by using of SIMV and IPPV. Results pH, PaO2, PaCO2 were significantly better after ventilation （P〈 0.01 ）. 26 cases were successfully removed ventilators.Only 2 case died. Conclusion The encouraging result of the mechanical ventilation in management of multiple trauma patients with thoracic injury accampanied respiratory dysfunction deserves recommend, but the indications for mechanical ventilation have to be grasped. The key of improving the curative rate is decreasing complication such as pulmonary infection and shortening duration of mechanical ventilation.

关 键 词：胸部外伤 呼吸功能不 全辅助通气 

分 类 号：R655[医药卫生—外科学]