临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2009年
7期
30-31
,共2页
刘世桢%韩淦同%吴容%刘先银%汪宇%何沛恒
劉世楨%韓淦同%吳容%劉先銀%汪宇%何沛恆
류세정%한감동%오용%류선은%왕우%하패항
严重胸部外伤%急性呼吸窘迫综合征%人工气道
嚴重胸部外傷%急性呼吸窘迫綜閤徵%人工氣道
엄중흉부외상%급성호흡군박종합정%인공기도
Severe chest trauma%Acute respiratory distress syndrome(ARDS)%Artificial airway
目的 评价严重胸部外伤并发ARDS的临床特点及救治ARDS患者的临床疗效.方法 对我科18例严重胸外伤并发ARDS的原发病、临床特征、人工气道的建立、使用呼吸机等进行回顾性的分析和总结.结果 18例ARDS患者除1例因胸部挤压伤严重,重度休克,抢救无效死亡外,其余17例均治愈出院.结论 创伤的严重程度、休克、感染、急性肺损伤是并发ARDS的主要危险因素.早期气管插管或切开,尽早使用机械通气,及时有效的抗休克、抗感染是救治成功的关键.
目的 評價嚴重胸部外傷併髮ARDS的臨床特點及救治ARDS患者的臨床療效.方法 對我科18例嚴重胸外傷併髮ARDS的原髮病、臨床特徵、人工氣道的建立、使用呼吸機等進行迴顧性的分析和總結.結果 18例ARDS患者除1例因胸部擠壓傷嚴重,重度休剋,搶救無效死亡外,其餘17例均治愈齣院.結論 創傷的嚴重程度、休剋、感染、急性肺損傷是併髮ARDS的主要危險因素.早期氣管插管或切開,儘早使用機械通氣,及時有效的抗休剋、抗感染是救治成功的關鍵.
목적 평개엄중흉부외상병발ARDS적림상특점급구치ARDS환자적림상료효.방법 대아과18례엄중흉외상병발ARDS적원발병、림상특정、인공기도적건립、사용호흡궤등진행회고성적분석화총결.결과 18례ARDS환자제1례인흉부제압상엄중,중도휴극,창구무효사망외,기여17례균치유출원.결론 창상적엄중정도、휴극、감염、급성폐손상시병발ARDS적주요위험인소.조기기관삽관혹절개,진조사용궤계통기,급시유효적항휴극、항감염시구치성공적관건.
Objective To evaluate clinical characterisitics and curative effects on remedy for severe chest trauma complicating ARDS. Methods Among 18 case with severe chest trauma complicating ARDS, primary diseases, clinical characteristics, establishment of artificial air-way, and use of breathing machine, etc were analyzed retrospectively and summarized. Results Among 18 cases with ARDS, 17 were cured to discharge except that 1 case was rescued without avail and died due to severe chest crush injury and severe shock. Conclusion Severity of trau-ma, shock, infection, and acute injury of lungs were mainly risky factors of complicating ARDS. Early lifesaver or incision of trachea, use of mechanical ventilation as rapidly as possible, and prompt, effective anti-shock and anti-infection were keys to rescue successfully.
