摘要
目的探讨重型颅脑损伤合并ARDS的危险因素及早期诊断。方法回顾性分析了68例重型颅脑损伤患者的临床资料。结果GCS评分低、脑挫裂伤程度重、发生呕吐误吸、胸部外伤、年龄大以及开颅手术后者ARDS的发生率均显著增高,与ARDS显著相关,属于风险因素。结论在重型颅脑损伤的监护治疗中,应警惕ARDS的危险因素,尽早做到ARDS的早期诊断。
Objective To explore the risk factor and diagnosis of ARDS after in the patients with severe craniocerebral trauma. Methods The data of 68 patients with severe craniocerebral trauma, who suffered fi'om ARDS were analyzedretrospectively and the risk factor, diagnosis criterion of ARDS were discussed. Results Lower GCS score, severe head jury, vomit or aspiration, chest trauma, old people, brain operation is the risk factor of ARDS. Conclusion The mortality of ARDS after the severe craniocerebral trauma is relatively high. Careful risk factor and early diagnosis of ARDS is the key to the successful treatment.
出处
《中国实验诊断学》
2007年第8期1061-1063,共3页
Chinese Journal of Laboratory Diagnosis
关键词
颅脑损伤
ARDS风险因素
诊断
severe craniocerebral trauma
ARDS
Risk factor
diagnosis