中国保健营养(中旬刊)
中國保健營養(中旬刊)
중국보건영양(중순간)
China Hwalth Care & nutrition
2013年
12期
8-8
,共1页
胸部外伤%肺挫伤%机械通气
胸部外傷%肺挫傷%機械通氣
흉부외상%폐좌상%궤계통기
Thorax%Trauma%Serious contusion ventilation
目的:讨论用综合措施提高重度肺挫伤的治疗效果。方法:对23例肺挫伤严重度评分ISS大于20分患者的诊断和治疗进行分析总结,观察治疗前后血气分析变化。结果:治疗后血气分析PaO2及SaO2均明显升高,差异有显著性(P<0.01)。结论:PaO2和SaO2是判断低氧血症严重程度的重要指标。保持呼吸道通畅、抗休克、合理应用机械通气、激素和抗生素等是肺挫伤治疗的重要方法。
目的:討論用綜閤措施提高重度肺挫傷的治療效果。方法:對23例肺挫傷嚴重度評分ISS大于20分患者的診斷和治療進行分析總結,觀察治療前後血氣分析變化。結果:治療後血氣分析PaO2及SaO2均明顯升高,差異有顯著性(P<0.01)。結論:PaO2和SaO2是判斷低氧血癥嚴重程度的重要指標。保持呼吸道通暢、抗休剋、閤理應用機械通氣、激素和抗生素等是肺挫傷治療的重要方法。
목적:토론용종합조시제고중도폐좌상적치료효과。방법:대23례폐좌상엄중도평분ISS대우20분환자적진단화치료진행분석총결,관찰치료전후혈기분석변화。결과:치료후혈기분석PaO2급SaO2균명현승고,차이유현저성(P<0.01)。결론:PaO2화SaO2시판단저양혈증엄중정도적중요지표。보지호흡도통창、항휴극、합리응용궤계통기、격소화항생소등시폐좌상치료적중요방법。
Objective:To investigate the clinic treatments of serious contusion.Method:Sixty-eight cases With severe pulmonary contasion with ISS>20 were selected,and the early diagnosis and trtatment were discussed. Resylts:The values of pao2 and Sao2 greatly increased afiter the ventilation,and the differencn wasstaistical y significant(p<0.05). Conclusion:pao2 and Sao2 and Pao2/Fio2 r atio is important to iudge the degree of hypoxemia.The main methods for severe p ulmonary contusion are to keep airway,to treat shok progressively,and to apply vention,steroids as wel as antibiotics reasonabiy.