CAJ | 학술논문

目的：研究颅脑损伤患者急性肺损伤的发病率、病因及高危因素。方法：选择2009年3月~2013年1月我院接诊的90例颅脑损伤患者进行研究。按照是否合并发生急性肺损伤将所有患者分为研究组和对照组。研究组患者均发生急性肺损伤。分别对两组患者的年龄、性别GCS、NDS病情危重状况进行记录分析,并对两组患者呼吸状况及合并症情况及两组患者经一定治疗后的病情发展状况及病死的情况进行跟踪调查分析。结果：研究组患者的年龄明显高于对照组(P<0.05),两组患者的性别状况无显著性差异(P>0.05),研究组患者的GCS评分及NDS评分均明显低于对照组(P<0.01)。研究组患者的呼吸频率明显快于对照组,PaO2/FiO2明显高于对照组,两组比较有统计学意义(P<0.01)。研究组患者合并呕吐误吸、胸外伤、复合伤及呼吸道疾病史的比例明显高于对照组(P<0.05)。研究组患者发生休克、SIRS及MODS的发生率明显高于对照组(P<0.05),研究组患者的死亡率明显高于对照组,两组比较有统计学意义(χ2=16.0062,P=0.0001)。结论：年龄偏高、GCS和NDS评分降低、呼吸频率较快、呼吸状况较差、合并呕吐误吸、胸外伤、复合伤及有呼吸道疾病史均为颅脑损伤患者合并急性肺损伤的高危因素,在临床治疗过程中应进行预防。
목적：연구로뇌손상환자급성폐손상적발병솔、병인급고위인소。방법：선택2009년3월~2013년1월아원접진적90례로뇌손상환자진행연구。안조시부합병발생급성폐손상장소유환자분위연구조화대조조。연구조환자균발생급성폐손상。분별대량조환자적년령、성별GCS、NDS병정위중상황진행기록분석,병대량조환자호흡상황급합병증정황급량조환자경일정치료후적병정발전상황급병사적정황진행근종조사분석。결과：연구조환자적년령명현고우대조조(P<0.05),량조환자적성별상황무현저성차이(P>0.05),연구조환자적GCS평분급NDS평분균명현저우대조조(P<0.01)。연구조환자적호흡빈솔명현쾌우대조조,PaO2/FiO2명현고우대조조,량조비교유통계학의의(P<0.01)。연구조환자합병구토오흡、흉외상、복합상급호흡도질병사적비례명현고우대조조(P<0.05)。연구조환자발생휴극、SIRS급MODS적발생솔명현고우대조조(P<0.05),연구조환자적사망솔명현고우대조조,량조비교유통계학의의(χ2=16.0062,P=0.0001)。결론：년령편고、GCS화NDS평분강저、호흡빈솔교쾌、호흡상황교차、합병구토오흡、흉외상、복합상급유호흡도질병사균위로뇌손상환자합병급성폐손상적고위인소,재림상치료과정중응진행예방。
To study incidence, etiology and risk factors in traumatic brain injury patients with acute lung injury. Methods:90 cases traumatic brain injury patients from March 2009 to January 2013 in our hospital were studied. According to whether the merger will occur in all patients with acute lung injury, they were divided into research group and control group. Research group occurred in patients with acute lung injury. Separately each of the two groups of patients by age, sex GCS, NDS recording and analyzing the status of critical condition, and the two groups of patients and complications of respiratory status conditions and two groups of patients after treatment by a certain condition and died of disease progression follow-up survey conducted analysis. Results:The research group was significantly higher than the control group in patients with age (P<0.05), the two groups were no significant gender differences in status (P>0.05), the GCS score and NDS scores of research group were significantly lower than the control group (P<0.01).Research group with respiratory rate significantly faster than the control group, PaO2/FiO2 significantly higher in the two groups was statistically significant (P<0.01). Study group patients with vomiting and aspiration, chest trauma, a history of respiratory disease complex injuries was significantly higher (P<0.05). Study group patients with shock, SIRS and MODS incidence was significantly higher (P<0.05), the study group was significantly higher mortality between the two groups was statistically significant (χ2=16.0062, P=0.0001). Conclusion:The high average age, GCS and NDS score decreased, respiratory rate and rapid breathing worse, merge vomiting aspiration, chest trauma, complex history with respiratory injuries are traumatic brain injury patients with acute lung injury risk factors, in the clinical course of treatment should be prevented.