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重型颅脑损伤并发急性呼吸窘迫综合征的危险因素及诊断
引用本文:文新忠,石斌,李玉民,郭鸿,张斌,刘丽平,侯启亮,曹永强,尹超. 重型颅脑损伤并发急性呼吸窘迫综合征的危险因素及诊断[J]. 中国实验诊断学, 2007, 11(8): 1061-1063
作者姓名:文新忠  石斌  李玉民  郭鸿  张斌  刘丽平  侯启亮  曹永强  尹超
作者单位:兰州大学第一附属医院,神经外科,甘肃,兰州,730000
摘    要:目的 探讨重型颅脑损伤合并ARDS的危险因素及早期诊断。方法 回顾性分析了68例重型颅脑损伤患者的临床资料。结果 GCS评分低、脑挫裂伤程度重、发生呕吐误吸、胸部外伤、年龄大以及开颅手术后者ARDS的发生率均显著增高,与ARDS显著相关,属于风险因素。结论 在重型颅脑损伤的监护治疗中,应警惕ARDS的危险因素,尽早做到ARDS的早期诊断。

关 键 词:颅脑损伤  ARDS风险因素  诊断
文章编号:1007-4287(2007)08-1061-03
修稿时间:2007-04-07

The risk factor and diagnosis of ARDS after in the patients with severe craniocerebral trauma
WEN Xin-zhong, SHI Bin, LI Yu-min ,et al.. The risk factor and diagnosis of ARDS after in the patients with severe craniocerebral trauma[J]. Chinese Journal of Laboratory Diagnosis, 2007, 11(8): 1061-1063
Authors:WEN Xin-zhong   SHI Bin   LI Yu-min   et al.
Affiliation:Intensive Care Unit, The First Hospital of Lanzhou University, Lanzhou 730000, China
Abstract:Objective To explore the risk factor and diagnosis of ARDS after in the patients with severe craniocerebral trauma.Methods The data of 68 patients with severe craniocerebral trauma,who suffered from ARDS were analyzedretrospectively and the risk factor,diagnosis criterion of ARDS were discussed.Results Lower GCS score,severe head jury,vomit or aspiration,chest trauma,old people,brain operation is the risk factor of ARDS.Conclusion The mortality of ARDS after the severe craniocerebral trauma is relatively high.Careful risk factor and early diagnosis of ARDS is the key to the successful treatment.
Keywords:severe craniocerebral trauma   ARDS   Risk factor   diagnosis
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