创伤后引起ALI／ARDS的无创机械通气的应用探讨  

Application of Trauma Caused by the Non-invasive Mechanical Ventilation in ARDS

作　　者：陈小凤[1] 李子贺[1] 孙勇[1] 王刚[1] 

机构地区：[1]解放军第454医院门诊部,南京210002

出　　处：《中国医药导刊》2010年第11期1868-1869,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨无创机械通气在创伤后引起急性肺损伤/急性呼吸窘迫症(ALI/ARDS)中的临床应用。方法:回顾性分析我院自2006年1月～2009年12月收治的54例因严重创伤引起的ALI/ARDS患者的临床资料。结果:本组54例患者均早期采用无创机械通气治疗,痊愈37例,痊愈率为68.5%(37/54),通过实施无创机械通气及其他综合治疗成功者34例,占63%,另外有20例因无创机械通气失败改为有创机械通气治疗,其中3人痊愈。54例患者中17人死亡,死亡率为31.5%,死亡原因均为合并多器官功能衰竭救治无效死亡。结论:无创机械通气可以显著提高创伤后引起ARDS的临床治疗效果,改善患者预后,降低临床死亡率。Objective： To investigate the non-invasive mechanical ventilation in the trauma induced acute lung injury / acute respiratory distress syndrome （ALI / ARDS） in clinical application.Metheds：A retrospective analysis of our hospital from January 2006 - December 2009 54 cases were treated for severe trauma induced ALI /ARDS patients with clinical data. Results：54 patients were early adopters of non-invasive mechanical ventilation, 37 cases cured, the cure rate was 68.5% （37/54）, through the implementation of non-invasive mechanical ventilation and other comprehensive treatment of 34 cases of successful, accounting for 63%, and another 20 cases of failure due to non-invasive mechanical ventilation in the treatment of invasive mechanical ventilation, of which 3 were recovered. 54 patients in 17 deaths, mortality rate was 31.5%, the cause of death were multiple organ failure combined treatment diet.Conclusion：Noninvasive mechanical ventilation can significantly improve the clinical ARDS caused by trauma treatment, improved patient outcomes and reduce the clinical mortality.

关 键 词：ALI/ARDS 无创机械通气 创伤 

分 类 号：R563.8[医药卫生—呼吸系统]