Clinical study on acute respiratory distress syndrome in severe thoracic trauma
- VernacularTitle:重症胸外伤导致急性呼吸窘迫综合征的临床研究
- Author:
Biao WU
1
;
Xiaodong YUAN
;
Haofeng CEN
;
Yun CAI
Author Information
1. 宁波市鄞州区第二医院心胸外科
- Keywords:
Severe thoracic trauma;
Acute respiratory distress syndrome;
Oxygen index (PaO2/FiO2)
- From:
China Modern Doctor
2015;(16):36-38,41
- CountryChina
- Language:Chinese
-
Abstract:
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.
