重型颅脑损伤并发急性呼吸窘迫综合征28例分析
被引量:1
摘要
目的 探讨重型颅脑损伤并发急性呼吸窘迫综合征(ARDS)的诊疗经验.方法 回顾性总结28例重型颅脑损伤并发ARDS患者的临床资料,并结合文献进行分析.结果 死亡17例,恢复良好4例,中残2例,重残5例.结论 重型颅脑损伤并发ARDS患者的病死率和致残率均较高.积极预防及早期诊断和冶疗是抢救成功的关键.
出处
《中国医师杂志》
CAS
2010年第10期1392-1393,共2页
Journal of Chinese Physician
参考文献6
-
1Schirmer-Mikalsen K,Vik A,Gisvold SE,et al.Severe head injury:control of physiological Variables,organ failure and complication in the intensive care unit.Acta Anaesthesiol Scand,2007,51(9):1194-1201.
-
2Salim A,Martin M,Inaba K,et al.The presence of the adult respiratory distress syndrome dose not worsen mortality or discharge disability in blunt trauma patients with severe traumatic brain injury.Injury,2008,39(1):30-35.
-
3周海航,张建民.重型颅脑损伤并发急性呼吸窘迫综合征114例临床分析[J].浙江医学,2007,29(1):42-44. 被引量:6
-
4牛永胜,穆心苇,张少华.误吸性肺损伤发病机理[J].临床麻醉学杂志,2004,20(11):699-700. 被引量:13
-
5Bennett SS,Graffagnino C,Borel CO,et al.Use of high frequency oscillatory ventilation (HFOV) in neurocritical care patients.Neurocrit Care,2007,7(3):221-226.
-
6Contant CF,Valadka AB,Gopinath SP,et al.Adult respiratory distress syndrome:a complic-Ation of induced hypertendsion after severe head injury.J Neurosurg,2001,95(4):560-568.
二级参考文献30
-
1李利中.颅脑损伤患者早期血糖水平变化的临床意义[J].实用医药杂志,2004,21(9):803-804. 被引量:5
-
2周新,汪均陶,李志仁.大剂量皮质激素治疗急性呼吸窘迫综合征2例[J].中国危重病急救医学,1996,8(4):244-245. 被引量:2
-
3中华医学会呼吸病学分会.急性肺损伤/急性呼吸窘迫综合征的诊断标准(草案)[J].中华结核和呼吸杂志,2000,23(4):203-203.
-
4Nemzek JA, Ebong SJ,Kim J,et al. Keratinocyte growth factor pretreatment is associated with decreased macrophage inflammatory protein-2alpha concentrations and reduced neutrophil recruitment in acid aspiration lung injury. Shock, 2002,18: 501-506.
-
5Kyriakides C, Austen W Jr,Wang Y, et al. Membrane attack complex of complement and neutrophils mediate the injury of acid aspiration. J Appl Physiol, 1999,87:2357-2361.
-
6Nader-Djalal N,Knight PR 3rd,Thusu K,et al. Reactive oxygen species contribute to oxygen-related lung injury after acid aspiration. Anesth Analg, 1998,87:127-133.
-
7Davidson BA,Knight PR,Helinskl JD,et al. The role of tumor necrosis factor-alpha in the pathogenesis of aspiration pneumonitis in rats. Anesthesiology, 1999, 91:486-499.
-
8Matthay MA, Zimmerman GA, Esmon C, et al. Future research directions in acute lung injury: summary of a National Heart, Lung, and Blood Institute working group. Am J Respir Crit Care Med, 2003, 167: 1027-1035.
-
9Engelhardt T, Webster NR. Pulmonary aspiration of gastric contents in anaesthesia. Br J Anaesth, 1999,83:453-460.
-
10Knight PR, Rutter T, Tait AR, et al. Pathogensis of gastric particulate lung injury:a comparison and interaction with acidic pneumonitis. Anesth Analg, 1993,77: 754-760.
共引文献17
-
1牛永胜,穆心苇,章淬,王翔.川芎嗪对胃液吸入性肺损伤的保护作用的实验观察[J].江苏中医药,2005,26(10):71-72.
-
2牛永胜,穆心苇,章淬,王翔,彭钢.严重颅脑创伤后不同误吸成分对凝血功能的影响[J].南京医科大学学报(自然科学版),2006,26(2):132-133. 被引量:4
-
3刘亚林.无痛肠镜检查误吸致ARDS死亡1例分析[J].实用疼痛学杂志,2006,2(3):162-163. 被引量:8
-
4梁汉生,杨占民,卢兰生.七氟醚诱发mendelson综合征早期纤支镜灌洗1例分析[J].中国误诊学杂志,2007,7(16):3922-3923.
-
5焦薇.手术患者误吸的预防与治疗[J].齐鲁护理杂志(下半月刊)(外科护理),2008,14(2):42-44. 被引量:3
-
6王芳英,韦献萍,刘燕兰,林翠娟,梁少芳,宾士容.急性重型颅脑损伤患者早期护理中的肺保护策略[J].国际医药卫生导报,2008,14(5):100-102.
-
7徐後.急性酒精中毒并误吸23例临床分析[J].中外医学研究,2010,8(5):8-9. 被引量:2
-
8翁伟,刘炳博,柯华.重型颅脑损伤并急性呼吸窘迫综合征25例临床分析[J].岭南急诊医学杂志,2010,15(3):180-181.
-
9郑军,董莘,宁海涛,董玉书.颅脑损伤合并急性肺损伤的临床特征及预后[J].现代中西医结合杂志,2011,20(13):1602-1602. 被引量:2
-
10权明桃,江智霞,任光阳,施久军,罗祎,程华刚.重度脑损伤误吸大鼠继发肺损伤的实验研究[J].重庆医科大学学报,2011,36(8):921-923. 被引量:3
同被引文献12
-
1毛克江,周立新,强新华.肺复张策略在急性呼吸窘迫综合征患者机械通气中的应用研究[J].中国医药导报,2007,4(09Z):23-25. 被引量:8
-
2纪强,韩礼纲,王青山.机械通气在急重症颅脑损伤合并ARDS中的治疗[J].河北医药,2008,14(3):258-260.
-
3Contant CF,Valadka AB,Gopinath SP,et al.Adult respiratory distress syndrome: acomplic ation of induced hypertendsion after severe head injury[J].J Neurosurg,2001,95(4):560-568.
-
4Schirmer Mikalsen K,Vik A,Gisvold SE.Severe head injury; control of physiological variables,organ failure and complication in the intensive care unit[J].Acta Anaesthesiol Scand,2007,51(9):1194-1201.
-
5Salim A,Martin M,Inaba K,et al.The presence of the adult respiratory distress syndrome dose not worsen mortality or discharge disability in blunt trauma patients with severe traumatic brain injury[J].Injury,2008,39(1):30-35.
-
6Simon R.Finfer,Jeremy Cohen.Severe traumatic brain iniury[J].J Resuscitation,2001,48(1):77-90.
-
7杨越涛,杜单瑜,张晓华,刘忠达.创伤后肺栓塞10例临床分析[J].浙江临床医学,2007,9(12):1618-1618. 被引量:4
-
8宋全忠.重型颅脑损伤继发急性呼吸窘迫综合征的诊治[J].中国实用医药,2008,3(5):76-77. 被引量:3
-
9姚柱炜,蒙剑锋,钟东.重型颅脑损伤后急性呼吸窘迫综合征的治疗体会[J].中国实用医药,2010,5(15):103-104. 被引量:1
-
10秦晓勇,代文光,李良慧,乌日汉.重型颅脑损伤并发急性呼吸窘迫综合征的诊疗体会[J].中国医药指南,2011,9(9):244-245. 被引量:1
-
1马建成,李绥霞.高压氧治疗急性一氧化碳中毒的疗效分析[J].内蒙古中医药,2009,0(6X):65-65. 被引量:1
-
2郭伟,杨德民,尹善浪.颅脑损伤患者上消化道出血临床分析[J].临床和实验医学杂志,2007,6(7):32-33. 被引量:2
-
3张丽华.心脑血管病高危者应主动戒烟[J].家庭医学(上半月),2015,0(1):57-57.
-
4王森岗,介纳.颅内多发动脉瘤的手术治疗策略分析[J].新疆医学,2017,47(3):261-263. 被引量:3