| 重型颅脑损伤合并急性呼吸窘迫综合征的治疗经验 |
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| 引用本文： | 余锦刚,陈汉民,黄国河,王文鑫.重型颅脑损伤合并急性呼吸窘迫综合征的治疗经验[J].临床军医杂志,2005,33(4):438-440. |
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| 作者姓名： | 余锦刚 陈汉民 黄国河 王文鑫 |
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| 作者单位： | 解放军第180医院,神经外科,福建,泉州,362000;解放军第180医院,神经外科,福建,泉州,362000;解放军第180医院,神经外科,福建,泉州,362000;解放军第180医院,神经外科,福建,泉州,362000 |
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| 摘 要： | 目的总结重型颅脑损伤(GCS<8分)合并急性呼吸窘迫综合征(ARDS)的治疗经验。方法对36例重型颅脑损伤合并ARDS的资料进行回顾分析。结果全部病人均采用早期机械通气+呼吸末正压通气(PEEP),22例存活,14例死亡,抢救成功率61.11%。结论决定重型颅脑损伤合并ARDS患者预后的主要因素是早期诊断、早期治疗和机械通气。PEEP是治疗ARDS有效的通气方式。
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| 关 键 词： | 重型颅脑损伤 急性呼吸窘迫综合征 机械通气 |
| 文章编号： | 1671-3826（2005）04-0439-03 |
| 收稿时间： | 2005-05-03 |
| 修稿时间： | 2005年5月3日 |
Experiences in Treatment of Severe Cerebral Injury Plus Acute Respiratory Distress Syndrome |
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| YU Jin-gang,CHEN Han-min,Huang Guo-he,WANG Wen-xin.Experiences in Treatment of Severe Cerebral Injury Plus Acute Respiratory Distress Syndrome[J].Clinical Journal of Medical Officer,2005,33(4):438-440. |
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| Authors: | YU Jin-gang CHEN Han-min Huang Guo-he WANG Wen-xin |
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| Abstract: | Objective To summarize the e xp eriences in the treatment of severe cerebral injury plus acute respiratory distr ess syndrome (ARDS). Methods Retrospective analysis was conducted on 36 patients wit h severe cerebral injury plus ARDS. Results All the patients were treated with early mechanical ven tilation and positive expiratory ending pressure (PEEP). There were 22 patients who survived, and 14 ones who died. The success rate was 69.11%. Conclusion The key factors that are decisive of the prognosis o f severe cerebral injury plus ARDS include early diagnosis, early treatment and early mechanical ventilation. PEEP is the effective ventilative way to the treat ment of ARDS. |
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| Keywords: | severe cerebral injury acute respiratory distress syndrome mechanical ventilation |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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