创伤休克并ARDS患者初诊救治因素分析

目的 了解创伤休克患者初诊救治期治疗措施与并发急性呼吸窘迫综合征(ARDS)相关因素,提高创伤休克早期救治水平,以降低ARDS的发病率.方法 回顾性分析10年间经治的重度创伤休克患者663例为对象,用SPSS11.0统计软件作Logistic回归,筛选和分析创伤休克初诊救治期治疗措施与并发ARDS的相关因素.结果 663例重度创伤休克患者中43例术后36 h内确诊 ARDS,筛选出呼吸道管理、低氧血症持续时间、低血压持续时间、早期镇痛与大量输血等初诊救治致ARDS发生相关的致病高危因素,其相对危险度分别为125.914、104.302、84.528、11.021和5.814.结论 重度创伤休克初诊治疗中呼吸管理不到位、持续低氧血症与低血压等是术后并发ARDS的高危因素.

Analysis of initial treatment factors in patients suffered traumatic shock complicated with ARDS

Objective To explore the initial treatment factors in patients suffered traumatic shock complicated with ARDS and improve early curing level of traumatic shock and reduce the incidence of ARDS.Methods 663 cases suffered serious traumatic shock of the latest 10 years treated by the author were chosen as subjects.Retrospection study method was used and factors that had correlation with the occurrence of ARDS or treatment were analyzed with logistic regression method through statistic program.Results There were 43 cases among total 663 cases were diagnosed ARDS within 36 hours after operation and we screened out correlation factors such as respiratory tract control,hypoxemia duration,hypotension duration,the early stage ease pain and massive transfusion etc.The risk factors of them were:125.914,104.302,84.528,11.021 and 5.814 respective.Conclusion Factors of respiratory tract control,continuous hypoxemia and hypotension are the high risk factors of patients suffered serious traumatic shock complicated with ARDS after operation.