摘要
目的 :探讨严重胸外伤并发急性呼吸窘迫综合征(ARDS)的诊断和机械通气治疗。方法 :回顾58例严重胸外伤并发急性呼吸窘迫综合征的诊治经过。本组病例分成两组 :传统机械通气组26例 ,肺保护性通气组32例。结果 :传统机械通气组带机时间平均7.4天 ,呼吸机相关性肺炎(VAP)发生率50.0 %,病死率38.5%。肺保护性通气组带机时间平均5.5天 ,VAP发生率21.9 %,病死率15.6%。结论 :ARDS的关键是早期诊断和及时治疗 ,肺保护性通气治疗该病比传统机械呼吸终末正压通气效果更优越 ,可明显缩短机械通气时间并减少VAP的发生率 ,从而降低病死率。
Objective:To explore the diagnosis of severe thoracic trauma complicated by acute respiratory distress syndrome(ARDS) and mechanical ventilation treatment.Methods:58 cases of severe thoracic trauma complicated by acute respiratory distress syndrome were reviewed.26 cases with traditional mechanical ventilation therapy,32 cases with pulmonary protective ventilation.Results:Average ventilator-carried time of traditional mechanical ventilation therapy group was 7.5 days,the incidence of ventilator associated pneumonia(VAP) was 50.0%,fatality rate was 38.5%.Average ventilator-carried time of pulmonary protective ventilation was 5.5 days,the incidence of VAP was 21.9%,fatality rate was 15.6%.Conclusion:The key of ARDS is the early diagnosis and prmpt therapy.Pulmonary protective ventilation in treating ARDS is more effective compared with the traditional mechanical ventilation therapy.It can obviously shorten the mechanical ventilation time and reduce the incidence of VAP and the fatality rate.
出处
《现代医药卫生》
2004年第23期2475-2477,共3页
Journal of Modern Medicine & Health
关键词
胸外伤
急性呼吸窘迫综合征
机械通气
肺保护性通气
Thoracic trauma
Adult respiratory distress syndrome
Mechanical ventilation
Pulmonary protective ventilation
Ventilator associated pneumonia
