摘要
目的探讨重症胸外伤并发呼吸窘迫综合征的诊疗方法。方法对19例重症胸外伤合并急性呼吸窘迫综合征患者采用机械通气治疗,比较治疗前后PaO2、PaCO2、PaO2/FiO2,并给予患者保持呼吸道通畅,检测患者生命征的变化。结果所有患者除3例死于颅内再出血和多脏器功能衰竭外,其余均治愈出院。结论呼吸窘迫综合征一经确诊,应积极进行早期有效治疗,同时改善低氧血症是治疗呼吸窘迫综合征成功的关键。
Objective To investigate the diagnosis and treatment of severe thoracic injury from RDS. Methods Ninteen patients with severe RDS from chest trauma were given mechanical ventilation, and the PaO2, PaCO2, PaO2/ FiO2 were compared preoperatively and postoperatively ; the changes of vital signs were detected, keeping the respiratory tract unobstructed. Results All the patients were cured and left hospital, but three case were dead for rebleeding and multiple organ failures. Conclusions Once the diagnosis of RDS is made, pelvic abscess must be given effectively in the early stage, and the improvement of hypoxemia is key to the treatment of RDS.
出处
《医学信息（手术学分册）》
2007年第10期896-897,共2页
Medical Information Operations Sciences Fascicule
关键词
重症胸外伤
呼吸窘迫综合征
诊疗
severe thoracic injury
RDS
diagnosis and treatment
