重症胸部创伤并发急性呼吸窘迫综合征80例临床研究  

The treatment of 80 cases of severe chest trauma with acute respiratory distress syndrome

作　　者：夏志成[1] 章柏平[1] 

机构地区：[1]解放军184医院急诊科,江西鹰潭335000

出　　处：《中国现代医生》2014年第1期148-149,152,共3页China Modern Doctor

摘　　要：目的探讨保护性肺通气治疗重症胸部创伤并发急性呼吸窘迫综合征的临床疗效。方法选取我院80例重症胸部创伤并发呼吸窘迫综合征患者。随机均分两组。对照组患者给予常规通气法治疗,观察组患者给予保护性肺通气法治疗。结果观察组患者通气8 h以及通气24 h的PaO2、PaCO2以及PaO2/FiO2与对照组患者同一时间点比较差异有统计学意义(P<0.05)。观察组治疗有效率以及病死率均优于对照组,差异均有统计学意义(P<0.05)。结论保护性肺通气能够明显改善重症胸部创伤并发急性呼吸窘迫综合征患者的临床症状,减少患者的病死率,提高患者的治疗效果,值得临床推广应用。Objective To study the effectiveness and safety of mechanical ventilation in the treatment of severe thoracic trauma patients with acute respiratory distress syndrome. Methods Eighty thoracic trauma patients with acute respiratory distress syndrome were chosen for study. 80 patients were randomLy divided into two groups. Control group were treated with conventional ventilation, and the observation group were treated with the treatment of lung protective ventilation method. Results The differences were statistically significant（P〈0.05） between the PaO2, PaCO2 and PaO2/FiO2 at 8 h and 24 h of ventilation of the observation group and the PaO2, PaCO2 and PaO2/FiO2 at the same point time of the control group. The treatment efficiency and mortality of the observation group were better than the control group, the differences in the data of the two groups were statistically significant （P〈0.05）. Conclusion Protective lung ventilation can significantly improve severe chest trauma complicated by acute respiratory distress syndrome in patients with clinical symptoms and reduce mortality in patients, and improve patient outcomes. It was worthy of clinical application.

关 键 词：保护性肺通气 重症胸部创伤 急性呼吸窘迫综合征 机械辅助呼吸 

分 类 号：R642[医药卫生—外科学]