有创机械通气对创伤性神经源性肺水肿的临床观察

The study of the effect of invasive mechanical ventilation in the treatment of traumatic neurogenic pulmonary edema

目的分析有创机械通气对创伤性神经源性肺水肿的临床疗效。方法纳入我院67例符合重症颅脑损伤及神经源性肺水肿病例,常规脱水降颅内压,保持气道通畅,行有创插管并呼吸机辅助呼吸。观察机械通气前后的临床症状、体征及血气分析、氧合指数及肺损伤评分。结果机械通气后67例患者临床症状和体征明显改善,24 h后氧合指数和肺损伤评分明显改善(P<0.05)。结论有创机械通气能明显改善创伤性神经源性肺水肿的临床症状。

Objective To analyze of the therapy of invasive mechanical ventilation on traumatic neurogenic pulmonary edema therapy.Methods 67 cases were concluded in hospital neurosurgery department.Clinical symptoms,signs and blood gas analysis were observed,and oxygenation index and lung injury score were calculated.Results Symptoms were improved after mechanical ventilation.And oxygenation index and lung injury score were also significantly improved（P0.05）.Conclusion Invasive mechanical ventilation in the treatment of traumatic neurogenic pulmonary edema,can significantly improve the clinical symptoms.