多发伤后早期急性呼吸窘迫综合征的危险因素分析  

Risk Factors of Early Acute Respiratory Distress Syndrome(ARDS) in Multiple Trauma Patients

作　　者：江浩 马鹏隽 刘志玥 杨欣 郑贸根 JIANG Hao;MA Peng-jun;LIU Zhi-yue;YANG Xin;ZHEGN Mao-gen(Department of Thoracic Surgery,North China University of Science and Technology Affiliated Hospital,Tangshan Hebei 063000)

机构地区：[1]华北理工大学附属医院胸外科,河北唐山063000

出　　处：《世界最新医学信息文摘》2018年第18期24-26,共3页World Latest Medicine Information Electronic Version

摘　　要：目的分析多发伤患者产生早期急性呼吸窘迫综合征的危险因素。方法回顾性分析我院ICU收治的177例多发伤患者的临床资料,根据其是否产生早期急性呼吸窘迫综合征(入院48小时内)将入选病例分为ARDS组及非ARDS组。采集患者的人口学资料、创伤情况、治疗干预、结果及转归等数据,采用Logistic回归分析筛选导致多发伤患者产生早期ARDS的危险因素。结果 Logistic回归分析结果显示:年龄(OR=1.057,P=0.012)、钝性伤(OR=4.407,P=0.034)、肺挫伤(OR=2.890,P=0.041)、入院24小时内晶体液入量(OR=1.002,P=0.009)、急诊剖腹探查手术(OR=4.916,P=0.004)是ARDS发生的独立危险因素。结论识别多发伤发生早期ARDS的危险因素,有助于制定合理预防和治疗方案,有望改善患者预后。Objective To analyze the risk factors of early acute respiratory distress syndrome in patients with multiple trauma.Methods The clinical data of 177 patients with multiple injuries were analyzed retrospectively.The patients were divided into ARDS group and non-ARDS group according to time of onset(within 48 hours of admission).Acquisition of the patient’s demographic data,trauma,treatment intervention,results and outcomes,such as data,using Logistic regression analysis to search risk factors of early ARDS in patients with multiple trauma.Results Logistic regression analysis results showed that age(OR=1.057,P=0.012),blunt injury(O R=4.407,P=0.034),pulmonary contusion(OR=2.890,P=0.041),24-h crystalloids administration(OR=1.002,P=0.009)and emergency laparotomy surgery(OR=4.916,P=0.004)are independent risk factors for ARDS occurred.Conclusion Identifying the risk factors for early ARDS in multiple injuries is helpful in the formulation of a reasonable prevention and treatment scheme,and is expected to improve the prognosis of patients.

关 键 词：多发伤 急性呼吸窘迫综合征 危险因素 

分 类 号：R816.4[医药卫生—放射医学]