肺挫伤致急性呼吸窘迫综合征患者肺循环变化的急救体会

Experiences on Lung Circulation Change Emergency Aid for Acute Respiratory Distress Syndrome Patients by Lung Contusion

目的:对肺挫伤致急性呼吸窘迫综合征(ARDS)患者肺循环变化的急救进行探讨。方法:选取笔者所在医院2009年1月-2012年9月期间,收治的22例肺挫伤致急性呼吸窘迫综合征患者设为观察组。另选取20例无肺挫伤且无ARDS的多发伤患者作为对照组,并对其临床资料进行回顾性分析。结果:两组患者的PAD、PAWP、PAD-PAWP指标在置管时到1d期间,差异显著,而1d后则差异出现弱化,2d后没有显著差异;而ELWI指标则在置管时到1.5d期间没有显著差异,2d后差异显著。结论:在对肺挫伤致ARDS存活患者各个阶段进行急救时,应根据其各项指标,选择适当的急救方式,这对提高急救成功率具有积极的价值。

Objective： To investigate the Lung circulation change emergency aid for acute respiratory syndrome patients by lung contusion. Method： The 22 cases with acute respiratory syndrome patients by lung contusion were selected as observation group from our hospital that had treatment during Jan.2009 to Sept.2012, Control group was composed of 20 cases who had no lung contusion, no ARDS, either. The clinical datas of two groups were retrospectively analyzed.Result： About the index of PAD, PAWP, PAD-PAWP of the two groups , there was a significant difference during the time from started insert the catheter to I day, while after 1 day, the indexes became weakening, after 2 days there was no significant difference; But the index of ELWI showed insignificant difference during time from started insert the catheter to a whole and half day, after 2 days, there was a significant difference. Conclusion： We should take the suitable method according to each index for each emergency treatment step for acute respiratory distress syndrome patients by lung contusion .It will be a significant value to improve the success rate for emergency aid.