在严重胸外伤致急性呼吸窘迫综合征中应用机械通气的疗效观察

目的探讨严重胸外伤合并呼吸窘迫综合征的机械通气的治疗。方法回顾性分析36例严重胸外伤合并呼吸窘迫综合征的治疗过程。结果本组患者36例经通气治疗1～32d,平均(5.5±4.8)d,均成功脱机,并存活出院,死亡2例,病死率5.6%。结论机械通气治疗严重胸外伤致急性呼吸衰竭,能迅速改善患者呼吸困难的症状和低氧血症,有效防止ARDS发生和进一步发展,是抢救严重胸外伤致急性呼吸衰竭患者的一种重要也是最具有疗效的方法之一。

Mechanical Ventilation in Severe Thoracic Injury in Acute Respiratory Distress Syndrome Treatment

Objective Severe chest trauma with respiratory distress syndrome mechanical ventilation treatment. Methods Retrospective analysis of 36 cases of severe chest trauma with respiratory distress syndrome in the course of treatment. Results The 36 patients with ventilation in the treatment of patients 1 to 32 days, the average （5.5 ± 4.8） days, were successful offline, and survived to hospital discharge, 2 patients died, mortality rate 5.6%. Conclusions Mechanical ventilation for severe thoracic injury in acute respiratory failure can rapidly improve the symptoms of patients with dyspnea and hypoxemia, effectively prevent the occurrence and further development of ARDS is a serious chest trauma emergency treatment of acute respiratory failure is an important and most has the effect of the methods.