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目的探讨多发伤中重度胸部外伤并发急性呼吸功能不全的辅助通气治疗原则。方法回顾分析28例严重胸部外伤并发急性呼吸功能不全的辅助通气治疗经过,呼吸机辅助通气模式为IPPV或SIMV加PEEP。结果机械辅助通气后,pH值、PaO2、PaCO2明显改善,与通气前相比,差异有显著性意义(P<0.01);26例成功撤机,2例死亡。结论辅助通气治疗多发伤中胸部外伤伴呼吸功能不全患者效果肯定;早期诊断和治疗急性呼吸功能不全,正确地使用呼吸机治疗并及时处理多发伤和休克是降低本病死亡率的有效措施。
Objective To explore the principle of adjuvant ventilation for multiple trauma patients with severe thoracic trauma and acute respiratory insufficiency. Methods A retrospective analysis of 28 cases of severe chest trauma complicated with acute respiratory insufficiency assisted ventilation treatment, ventilator-assisted ventilation mode for IPPV or SIMV plus PEEP. Results After mechanical ventilation, pH value, PaO2, PaCO2 significantly improved, compared with before ventilation, the difference was significant (P <0.01); 26 patients wearable success and 2 deaths. Conclusions Assisted ventilation is effective in treating multiple trauma patients with chest trauma and respiratory insufficiency. Early diagnosis and treatment of acute respiratory insufficiency, and proper use of ventilator to treat multiple injuries and shock in time are effective measures to reduce the mortality of this disease.