机械通气治疗重症胸外伤并发急性呼吸窘迫综合征的临床分析

发布时间：2018-02-01 11:41

本文关键词： 机械通气胸外伤急性呼吸窘迫综合征临床效果　出处：《临床医药文献电子杂志》2016年56期 　论文类型：期刊论文

【摘要】：目的分析机械通气治疗重症胸外伤并发急性呼吸窘迫综合征的临床效果。方法选取我院2014年6月~2016年6月收治的重症胸外伤并发急性呼吸窘迫综合征的患者45例作为研究对象,随机分为观察组和对照组,对照组患者进行常规治疗,观察组患者在常规治疗的基础上增加机械通气治疗,观察对比两组的疗效。结果治疗后两组患者均有一定程度好转,但观察组患者的动脉血气分析中二氧化碳分压、动脉血氧分压、血氧饱和度均优于对照组;差异有统计学意义(P0.05);观察组的临床治疗有效率高于对照组,差异有统计学意义(P0.05)。结论在对胸外伤并发急性呼吸窘迫综合征的治疗中加入机械通气可以更有效的改善患者的呼吸功能,提高临床治疗的有效率,值得临床推广。
[Abstract]:Objective to analyze the clinical effect of mechanical ventilation in the treatment of severe thoracic trauma complicated with acute respiratory distress syndrome. A total of 45 patients with syndromes were included in the study. The patients in the observation group were divided into two groups randomly. The patients in the control group were treated with routine therapy, and the patients in the observation group were treated with mechanical ventilation on the basis of routine treatment. Results after treatment, the patients in both groups improved to some extent, but the partial pressure of carbon dioxide, partial pressure of oxygen and saturation of oxygen in arterial blood in the observation group were better than those in the control group. The difference was statistically significant (P 0.05). The effective rate of clinical treatment in the observation group was higher than that in the control group. Conclusion Mechanical ventilation can improve respiratory function more effectively in the treatment of thoracic trauma complicated with acute respiratory distress syndrome. Improving the effective rate of clinical treatment is worth popularizing.
【作者单位】：江苏省泰州市第二人民医院;
【分类号】：R655
【正文快照】： 胸外伤多是由于车祸、挤压伤、摔伤和锐器等造成的,损伤机制较为复杂,多有肋骨或者胸骨骨折,常合并有其它部位的损伤,心肺组织广泛性钝挫伤后会继发的组织水肿导致患者出现急性呼吸窘迫综合征,严重的威胁着患者的生命[1]。本文就机械通气治疗重症胸外伤并发急性呼吸窘迫综合征

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