CAJ | 학술논문

目的：探讨严重胸外伤致急性呼吸窘迫综合征(ARDS)的诊疗方法。方法对我院2007年7月~2015年2月期间治疗的89例严重胸部外伤患者中的21例严重胸部外伤合并急性呼吸窘迫综合征(ARDS)患者的诊断、治疗进行分析和总结。通过比较治疗前后的氧分压(PaO2)、二氧化碳分压(PaCO2)、氧合指数(PaO2/FiO2),并给予患者保持呼吸道通畅,通过比较患者生命体征的变化情况,评估治疗效果。结果经治疗后,患者的PaO2明显升高,PaCO2明显下降,PaO2/FiO2明显升高,与治疗前对比,差异有统计学意义(P<0.05)；21例患者中有6例出现并发肺炎,对症治疗后痊愈,其中2例死亡,1例因为失血过多,另外1例主动放弃治疗。结论早期发现并且早期给予治疗ARDS对预后具有重要意义,在治疗过程中,合理正确使用呼吸机是提高治疗成功率最有效的措施。
목적：탐토엄중흉외상치급성호흡군박종합정(ARDS)적진료방법。방법대아원2007년7월~2015년2월기간치료적89례엄중흉부외상환자중적21례엄중흉부외상합병급성호흡군박종합정(ARDS)환자적진단、치료진행분석화총결。통과비교치료전후적양분압(PaO2)、이양화탄분압(PaCO2)、양합지수(PaO2/FiO2),병급여환자보지호흡도통창,통과비교환자생명체정적변화정황,평고치료효과。결과경치료후,환자적PaO2명현승고,PaCO2명현하강,PaO2/FiO2명현승고,여치료전대비,차이유통계학의의(P<0.05)；21례환자중유6례출현병발폐염,대증치료후전유,기중2례사망,1례인위실혈과다,령외1례주동방기치료。결론조기발현병차조기급여치료ARDS대예후구유중요의의,재치료과정중,합리정학사용호흡궤시제고치료성공솔최유효적조시。
Objective To investigate the diagnosis and treatment method of acute respiratory distress syndrome (ARDS) caused by severe chest traumain. Methods Complicated 89 cases in our hospital from July 2007 to February 2015 with severe chest trauma in patients, among which 21 cases with acute respiratory distress syndrome (ARDS), the diagnosis, treatment were analyzed and summarized. Through the comparison of oxygen partial pressure (PaO2), partial pressure of carbon dioxide (PaCO2), oxygen index (PaO2/FiO2) before and after treatment, and were given thepatients to maintain respiratory tract unobstructed, through compared the change patient vital signs to value treatment effect evaluation. Results After treatment, PaO2 increased, PaCO2 decreased, PaO2/FiO2 increased significantly, there were significant differences compared with those before the treatment (P<0.05); in 21 cases, 6 cases were complicated with pneumonia appears, and they were recovered after symptomatic treatment; of which 2 cases died, 1 case of death due to excessive blood loss, also 1 case gave up the treatment. Conclusion Early detection and early treatment of ARDS is significant prognostic, in the course of treatment, reasonable and correct use of breathing machine is effect measure to improve the success rate of treatment.