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目的:探讨胸外伤并发急性呼吸衰竭的临床高危因素关系。方法:对收治的157例胸外伤的临床资料进行回顾性分析,将相关的12项因素进行统计学分析,确定ARF的高危因素。结果:统计资料显示:年龄、创伤失血性休克、收缩压、呼吸频率,PaO_2、PaO_2、血气胸量、多发创伤、肋骨骨折、肺部感染、ISS值等因素是ARF的高危因素。结论:对具有高危因素的胸部创伤患者应加强临床监测工作,警惕ARF的发生。
Objective: To investigate the clinical risk factors of chest trauma complicated with acute respiratory failure. Methods: The clinical data of 157 cases of thoracic trauma admitted were retrospectively analyzed. The related 12 factors were statistically analyzed to determine the risk factors of ARF. Results: The age, traumatic hemorrhagic shock, systolic blood pressure, respiration rate, PaO 2, PaO 2, hemopneumothorax, multiple trauma, rib fractures, pulmonary infection and ISS were the risk factors for ARF. Conclusion: Clinical monitoring should be strengthened for patients with chest trauma who have high risk factors and be alert to the occurrence of ARF.