创伤性ARDS 14例临床浅析  

A CLINICAL ANALYSIS OF 14 CASES OF ADULT RESPIRATORY DISTRESS SYNDROME RESULTED FROM TRAUMA

作　　者：施小燕[1] 王斌[1] 

机构地区：[1]浙江医科大学附属第二医院急诊科,杭州310009

出　　处：《急诊医学》1996年第3期152-154,共3页

摘　　要：本文总结分析了1987－1995年间收住EICU的14例创伤性ARDS病人的抢救治疗。全部病例均为多发伤患者。结果表明：发生ARDS高峰时间为创伤后24—48小时。机械通气可明显提高动脉血氧分压（P＜0．01）和血氧饱和度（P＜0．05）。PEEP为救治ARDS的一种有效通气模式。早期采用机械通气、脱水剂、激素、血管扩张剂、肝素和抗感染等综合措施是提高ARDS治愈率的重要手段。In this writing, 14 cases of adult respiratory distress syndrome (ARDS) resulted from trauma in EICU during 1987- 1995. are analized. All cases suffered from multiple trauma. The result expresses that the peak time that ARDS takes place is 24-48 hours after trauma. The main omens of ARDS resulted from trauma are reduction of PaO2. Mechanical ventilation may remarkably raise PaO2 (P<0. 01 ) and SaO2 (P<0. 05). Positive end -expiratory pressure ventilation (PEEP) is an important method in treating ARDS. The early adoption of mechanical ventilation, dehydrant drugs, hormone, vasodilator, heparin, antiinfection agents, etc., is effective measure to raise the rate of successful cure of ARDS.

关 键 词：多发性创伤 机械通气 成人 呼吸窘迫综合征 

分 类 号：R641.06[医药卫生—外科学] R563.905[医药卫生—临床医学]