创伤性ARDS发生指数动态监测在胸外伤救治中的应用  

Application of Traumatic ARDS Incidence Index Dynamic Monitoringin Thoracic Trauma Emergency Treatment

作　　者：崔少罡[1] 常诚[1] 白玲[1] 

机构地区：[1]解放军第264医院胸外科

出　　处：《中国医师杂志》2000年第6期335-336,共2页Journal of Chinese Physician

摘　　要：为探讨应用创伤性急性呼吸窘迫综合征发生指数 (Ⅰ值 )动态监测胸外伤救治的临床意义 ,对 96例胸外伤进行 72h评分 ,观察Ⅰ值的动态变化与疗效的相关性。结果发现平均Ⅰ值为 8 6 9,Ⅰ值评分随救治整体升高 ;5例死亡者全部集中在 72h后Ⅰ值 <- 2范围内 (5 2 1% )。说明Ⅰ值在胸外伤救治中动态监测是可行的 ,利用Ⅰ值可快速区分病情的危重程度 ,并为临床治疗提供量化依据。To explore the clinical significance of the application of traumatic acute respiratory distress sydrome (ARDS) incidence index(Ⅰ value) in dynamic monitoring of thoracic trauma emergency treatment,96 cases of thoracic trauma were monitored and scored for 72 hours.Correlation of I value's dynamic change with efficacy was observed,the results showed that average I value was 8.69.The I value scoring rose entirely with the efficacy.I values of all 5 death cases (5.21%) <-2,after 72 hours.It suggests that dynamic monitoring the I value is a feasible measure in treatment of thoracic trauma.The dangerous degree of the trauma could be confirmed by determination of I value.It also provides a basis of quantitative assessment for clinical treatment.

关 键 词：胸部创伤 呼吸窘迫综合征 动态监测 急救 

分 类 号：R655[医药卫生—外科学] R563.8[医药卫生—临床医学]