【摘要】 目的探讨严重胸外伤后发生呼吸窘迫综合征(acuterespiratorydistresssyndrome,ARDS)的早期诊断和呼吸治疗。方法回顾分析62例胸外伤后ARDS的诊治过程。结果该组分成两组,传统机械呼吸+终末正压通气(PEEP)组39例,带机时间平均(6.2±1.6)d。死亡18例,病死率46.16%;呼吸机“肺保护性”通气组23例,带机时间平均(4.8±2.1)d,死亡6例,病死率21.09%。两组比较差异具有显著性(P<0.05)。结论早期诊断和及时治疗是该病治疗的关键,呼吸“肺机保护性”通气治疗ARDS比传统机械呼吸+PEEP效果更优越,同时积极处理原发损伤和预防各种并发症也很重要。更多还原

【Abstract】 [Objective] To explore the diagnosis of severe thoracic trauma complicated by acute respiratory distress syndrome(ARDS)and mechanical ventilation treatment.[Methods] 62 cases of severe thoracic trauma complicated by acute respiratory distress syndrome were reviewed.39 cases with traditional ventilation strategy,23 cases with a protective ventilation strategy.[Results] Average ventilator-carried time of traditional ventilation strategy group was(6.2±1.6)days and mortality was 46.16 %.Average ventilator-carried time of protective ventilation strategy was(4.8±2.1)days and mortality was 21.09 %.[Conclusion] The key of ARDS is the early diagnosis and ventilation strategy.Protective ventilation strategy in treating ARDS is more effective compared with the traditional ventilation strategy.It can obviously shorten the ventilator-carried time and reduce the mortality of ARDS.更多还原