32例严重胸腹部复合伤并发急性呼吸窘迫综合征患者的救治  

Treatment of 32 patients with severe thoracic and abdominal injury accompanied with acute respiratory distress syndrome

作　　者：翁伟建[1] 司建荣[1] 贾保全[2] 赵玉元[2] 雷道鑫[3] 

机构地区：[1]佛山市南海中医院急诊外科,广东省佛山528200 [2]兰州大学第一医院普外科 [3]兰州大学第一医院胸外科

出　　处：《中华急诊医学杂志》2006年第9期790-792,共3页Chinese Journal of Emergency Medicine

摘　　要：目的探讨严重胸腹部复合伤并发急性呼吸窘迫综合征的有效救治方法。方法回顾性分析32例患者严重胸腹部复合伤并发急性呼吸窘迫综合征的急救方法及治疗效果。结果32例均有胸腹部的严重复合伤,均合并多发肋骨骨折或肺挫伤而致急性呼吸窘迫综合征,均行抗休克、合理补充血容量、合理的机械通气及急诊外科手术抢救治疗。临床治愈26例,死亡6例,死亡率18．75%。结论早期诊断、及时抗休克、合理补充血容量和处理胸腹部外伤以及尽早正确采用机械通气,是治疗严重胸腹部复合伤并发急性呼吸窘迫综合征的关键,也是降低死亡率的有效措施。Objective To study an effective treatment of severe thoracic and abdominal injury accompanied with acute respiratory distress syndromes （ARDS）. Methods Emergency treatments of 32 patients with severe thoracic and abdominal trauma accompanied with ARDS were retrospectively analyzed. Results All of the 32 patients had severe thoracic and abdominal injury, ribs fracture or pulmonary contuson. Anti- shock treatment, reasonable supplemental blood volume, rational mechanical ventilation and emergency operation were performed. Twenty- six patients were cured, and 6 died, with mortality 18.75%. Conclusions Early diagnosis, timely anti- shock treatment, early treatment for thoracic and abdominal injury and correct mechanical ventilation are essential for treating thoracic and abdominal trauma accompanied by ARDS, and is also an effective method for reducing mortality.

关 键 词：严重胸腹部复合伤 急性呼吸窘迫综合征 机械通气 

分 类 号：R641[医药卫生—外科学]