创伤性急性呼吸窘迫综合征20例临床分析

目的：探讨创伤性ARDS的治疗经验，以提高治愈率。方法：对我院1997年-2002年共收治严重创伤致20例ARDS患者，均采用气管插管或气管切开，900C呼吸机或乌牌呼吸机辅助呼吸，加用呼气末正压通气(PEEP)，PEEP在2～10CmH2O，平均4CmH2O。积极手术、抗休克、抗感染、改善微循环等治疗。结果：本组20例病例中，10例死亡，10例治愈，各占50％。结论：早期诊断，早期治疗，积极纠正缺氧血症，治疗原发病，控制感染、消除MODS诱因，以提高治愈率。

The Clinical Analysis of Traumatic ARDS

Objective:Concluding the therapeutic experiences of traumatic ARDS in order to improve the cure rate.Methods:From 1997 to 2002,there are 20 cases of ARDS patients with seriously trauma in our hospital.We use the respirator of 900C or BIRD to have the auxiliary breath with peeping.PEEP is 2-10 CmH 2O and its average height is 4 CmH 2O.to cure the original disease positively,we always have the operation,resiste the shock,resist the inflection and improve the blood circuit.Results:In 20 cases,10 of them were dead and 10 were cured,each holds 50 percent.Conclusions:To have the early diagnosis and early treatment,cure the lower oxygen blood and original disease positively,prevent inflection and clear up the cause of ARDS to improve the cure rate.