多发创伤呼吸衰竭的临床早期干预

Multiple Injuries with Acute Respiratory Failure Early Intervention

目的探讨多发创伤采取多学科一体化救治模式,对呼吸衰竭早期干预与预后的关系。方法对于多发创伤患者,保持呼吸道通畅、预防控制低氧血症发生发展(A组)与既往创伤小组救治后送入ICU监护病房(B组),比较两组ARDS的发生率、病死率、上机时间.ICU平均住院时间。结果 A组与B组相比ARDS发生率、病死率比较差异有显著性(P<0.05),上概率比较差异无显著性(P>0.05)。上机时间、ICU平均住院时间比较差异有显著性(P<0.05)。结论早期注重多发性创伤救治的每一个环节,保持患者呼吸道通畅、预防控制低氧血症发生发展,ARDS发生率、病死率较前明显降低,上机时间、ICU平均住院时间均降低,可有效改善多发创伤预后。

Objective Explore the integration of treatment of multiple injuries, respiratory failure, early intervention and prognosis relationship. Methods The multiple injuries patient, keep respiratory tract unobstructed, prevention and control of occurrence and development of hypoxemia（A group）.To compared with the past trauma group which was treated then admitted to ICU care unit （B group）.Compared the incidence of the two groups of ARDS、Mortality keep respiratory tract unobstructed, time of Mechanical ventilation and average time of stay in ICU. Results A group and B group comparetion of ARDS incidence and mortality. There was a significant difference in mortality （P〈0.05）.On the mechanical ventilation probability of no significant difference （P＆gt;0.05）. Time of Mechanical ventilation and average time of stay in ICU were significant difference （〈0.05）. Conclusion Early focusing on every aspect of trauma treatment, keep respiratory tract unobstructed, prevention and control of occurrence and development of hypoxemia.ARDS incidence and mortality significantly decreased rate than before. Time of Mechanical ventilation and ICU average length of stay were reduced. To improve the prognosis of multiple injuries.