肺挫伤致急性呼吸窘迫综合征在ICU中的救治分析  

Treatment of ARDS caused by pulmonary contusion in ICU

作　　者：钱何布[1] 郑志群[1] 杜文革 陆骏灏[1] 管光辉[1] 浦秦华[1] 

机构地区：[1]吴江市南通大学附属吴江医院ICU科,江苏吴江215200

出　　处：《创伤外科杂志》2007年第5期398-400,共3页Journal of Traumatic Surgery

摘　　要：目的探讨肺挫伤致急性呼吸窘迫综合征（ARDS）的发病机制及在加强监护病房（ICU）中的监护和救治。方法回顾分析2002年1月-2006年12月ICU病房收治的45例肺挫伤致ARDS病人的临床资料。结果所有病人均采取以机械通气为主的综合救治措施。45例中治愈32例（71．1％），死亡13例（28．9％）。结论肺挫伤致ARDS死亡率高，在ICU中严密监护，早期诊断，及时采取综合救治措施有利于改善预后。Objective To discuss the mechanism, the care and treatment in ICU for ARDS caused by pulmonary contusion （ PC ）. Methods Forty-five cases of ARDS caused by PC from January 2002 to December 2006 in ICU were analyzed retrospecitively. Results All patients were treated by mechanical ventilation and other comprehensive treatment. Thirteen patients died, and the mortality was 28.9%. Conclusion ARDS caused by PC has higher mortality. The intensive care in ICU, the early diagnosis and the prompt comprehensive treatment can improve the prognosis.

关 键 词：肺挫伤 急性呼吸窘迫综合征 重症监护 治疗 

分 类 号：R655.3[医药卫生—外科学] R605.973[医药卫生—临床医学]