严重胸部外伤并发ARDS的临床疗效评价

Evaluation of Clinical Effects on Severe Chest Trauma Complicating ARDS

目的评价严重胸部外伤并发ARDS的临床特点及救治ARDS患者的临床疗效。方法对我科18例严重胸外伤并发ARDS的原发病、临床特征、人工气道的建立、使用呼吸机等进行回顾性的分析和总结。结果18例ARDS患者除1例因胸部挤压伤严重,重度休克,抢救无效死亡外,其余17例均治愈出院。结论创伤的严重程度、休克、感染、急性肺损伤是并发ARDS的主要危险因素。早期气管插管或切开,尽早使用机械通气,及时有效的抗休克、抗感染是救治成功的关键。

Objective To evaluate clinical characterisitics and curative effects on remedy for severe chest trauma complicating ARDS. Methods Among 18 case with severe chest trauma complicating ARDS, primary diseases, clinical characteristics, establishment of artificial airway, and use of breathing machine, etc were analyzed retrospectively and summarized. Results Among 18 cases with ARDS, 17 were cured to discharge except that 1 case was rescued without avail and died due to severe chest crush injury and severe shock. Conclusion Severity of trauma, shock, infection, and acute injury of lungs were mainly risky factors of complicating ARDS. Early lifesaver or incision of trachea, use of mechanical ventilation as rapidly as possible, and prompt, effective anti-shock and anti-infection were keys to rescue successfully.