严重胸外伤致急性呼吸窘迫综合征的诊治

The treatment of severe thoracic injury combined with ARDS

目的探讨严重胸外伤致急性呼吸窘迫综合征的诊断和治疗。方法对89例严重胸外伤并发急性呼吸窘迫综合征(ARDS)患者的诊断、治疗进行分析与总结。结果全组89例,死亡22例,死亡率为25%,主要死亡原因是多器官功能衰竭(MSOF)。结论早期诊断,保持呼吸道通畅,正确使用呼吸机治疗,及时处理休克和多发伤等综合治疗,是降低本病死亡率的有效方法。

Objective To probe into the diagnosis and treatment of severe thoracic injury complicated with acute respiratory distress syndrome（ARDS）. Methods 89 cases with severe thoracic injury were selected, and the early diagnosis and treatment were discussed. Results 67 cases survived and 22 cases were dead. The death was mainly caused by multiple organ failure （ MSOF ）. Conclusion Early diagnosis, clear respiratory tract, correct application of mechanical ventilation and correct treatment of shock and multiple injuries are efective methods to decrease mortality of ARDS.