不同液体复苏方法对重症胸部创伤合并休克患者ARDS发生率及预后的改善作用  

Improvement Effects of Emergency Surgery in ARDS Incidence and Prognosis of Severe Thoracic Trauma with Shock Patients

作　　者：舒振云[1] 陈鹤[1] 廖金平[1] 董德胜[1] 宋斌[1] 

机构地区：[1]中国人民解放军第九八医院,浙江湖州313000

出　　处：《河北医学》2016年第9期1435-1438,共4页Hebei Medicine

基　　金：浙江省科技厅基金项目;(编号:20120243Q12)

摘　　要：目的:探讨急诊手术对重症胸部创伤合并休克患者ARDS发生率及预后的改善作用。方法:随机选取我院2014年5月至2016年5月收治的112例重症胸部创伤合并休克患者,依据急诊手术方法将这些患者分为常规液体复苏组(n=56)和限制液体复苏组(n=56)两组,对两组患者的临床疗效、ARDS等并发症发生情况及死亡情况进行统计分析。结果:限制液体复苏组患者治疗的总有效率显著高于常规液体复苏组(P<0.05),ARDS、脓胸、肺部感染发生率及死亡率均显著低于常规液体复苏组(P<0.05)。结论:急诊手术中限制液体复苏法较常规液体复苏法更能有效降低重症胸部创伤合并休克患者ARDS发生率,改善其预后。Objective： To investigate the improvement roles of emergency surgery in ARDS incidence and prognosis of severe thoracic trauma with shock patients. Methods ： 112 cases of severe thoracic trauma with shock patients treated in our hospital from May 2014 to May 2016 were randomly selected.These patients were divided into conventional fluid resuscitation group （n = 56） and restrict fluid resuscitation group （n = 56） according to emergency surgery methods. The clinical efficacy, ARDS incidence complications and mortality of the two groups were statistically analyzed. Results： The total effective rate of the restrict fluid resuscitation group was significantly higher than the conventional fluid resuscitation group （P〈0.05） , the ARDS＇, empye- ma, lung infection incidences and death rate were significantly lower than the conventional fluid resuscitation group. Conclusion： Restrict fluid resuscitation method in emergency surgery can more effectively reduce the ARDS incidence, improve the prognosis of severe thoracic trauma with shock patients than conventional fluid resuscitation.

关 键 词：急诊手术 重症胸部创伤合并休克 ARDS发生率 预后 改善作用 

分 类 号：R655[医药卫生—外科学]