创伤患者早期发生急性呼吸窘迫综合征危险因素研究  

Study on the Risk Factors of Acute Respiratory Distress Syndrome in the Early Stage of Traumatic Patients

作　　者：唐勋 TANG Xun(Emergency Department,Fengdu County People's Hospital,Chongqing,408200 China)

机构地区：[1]重庆市丰都县人民医院急诊科,重庆408200

出　　处：《系统医学》2021年第13期59-61,共3页Systems Medicine

摘　　要：目的探究创伤患者早期发生急性呼吸窘迫综合征(ARDS)的特征。方法选取该院2019年1月—2020年1月收治的200例创伤患者资料,根据发病时间先后,划分为早发组和迟发组。早发组52例,迟发组148例。对与其可能有关的年龄、性别、既往病史、创伤的严重度、创伤指数、休克时长、检查结果等资料比较差异,分析早期发生ARDS的相关危险因素。结果创伤患者在早期发生ARDS的独立危险因素有:钝性伤、肺挫伤、急诊剖腹探查术和APACHEⅡ。结论高龄、休克、创伤的严重程度(是否为钝性伤)、肺部感染和肺挫伤以及急诊的剖腹查探术是创伤患者早期发生ARDS的危险因素,应在临床早期及时给予相应干预治疗与护理,以便使预后良好。Objective To explore the characteristics of acute respiratory distress syndrome(ARDS)in trauma patients.Methods Analyze the data of 200 trauma patients admitted to the hospital from January 2019 to January 2020,and divide them into early-onset group and late-onset group according to the time of onset.There were 52 cases in the early-onset group and 148 cases in the late-onset group.Comparing the differences between the age,gender,past medical history,trauma severity,trauma index,shock duration,examination results and other data that may be associated with it,and analyzing the relevant risk factors for the early occurrence of ARDS.Results The independent risk factors for ARDS in trauma patients in the early stage were:blunt injury,lung contusion,emergency laparotomy and APACHEⅡ.Conclusion The results of survey statistics show that advanced age,shock,severity of trauma(whether it is a blunt injury),lung infection and lung contusion,and emergency laparotomy are risk factors for early ARDS in trauma patients and should give corresponding intervention treatment and care in the early clinical stage in time to make the prognosis good.

关 键 词：创伤早期 急性呼吸窘迫综合征 危险因素 肺挫裂伤 

分 类 号：R459.7[医药卫生—急诊医学]