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目的:探讨严重胸外伤后发生急性呼吸窘迫综合征早期诊断和呼吸机肺保护性通气治疗。方法:回顾性分析31例胸外伤后急性呼吸窘迫综合征的诊治过程。结果:31例患者分为2组,传统机械呼吸+终末正压通气组20例,带机时间平均(7.3±1.6)d,死亡9例,病死率50%;呼吸机肺保护性通气组11例,带机时间平均(4.5±1.8)d,死亡3例,病死率27.27%。2组比较差异有统计学意义(P<0.05)。结论:呼吸机肺保护性通气治疗急性呼吸窘迫综合征效果优于传统机械呼吸+终末正压通气治疗。
Objective: To investigate the early diagnosis of acute respiratory distress syndrome and ventilator lung protective ventilation after severe chest trauma. Methods: The diagnosis and treatment of acute respiratory distress syndrome in 31 cases of thoracic trauma were retrospectively analyzed. Results: Twenty-one patients were divided into two groups. Twenty patients underwent traditional mechanical ventilation and positive end-expiratory ventilation, with an average of 7.3 ± 1.6 days of machine-borne time and 9 deaths, with a mortality rate of 50%. Ventilator lung protective ventilation group Eleven patients had an average of 4.5 ± 1.8 days of driving time, 3 died, and the case fatality rate was 27.27%. The difference between the two groups was statistically significant (P <0.05). Conclusion: Ventilator lung protective ventilation is superior to conventional mechanical respiration + terminal positive pressure ventilation in the treatment of acute respiratory distress syndrome.