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无创鼻面罩机械通气治疗急性呼吸窘迫综合征(ARDS)国内已有个案报道。我们应用“允许性高碳酸血症(PHC)”及“肺开放”~一。大通气策略,成功抢救外伤后重症ARDS1例,在此做必要的探讨。患者男性,40岁,因重物砸伤右髋部6小时于2001年3月1日住本院骨科。入院后经X光、CT摄片诊断:右侧坐骨、耻骨,左侧耻骨错位骨折。住院后第3天(外伤后72小时),患者自觉胸闷气急,伴血痰,上述症状持续4天病情进行性加重,吸氧6L/min,SaO_2上升至84.2%,R38次/min,HR118次/min,
Non-invasive nasal mask mechanical ventilation for the treatment of acute respiratory distress syndrome (ARDS) has been reported in China. We apply “Permissive hypercapnia (PHC) ” and “lung open ” ~ one. Large ventilation strategy, the successful rescue of traumatic severe ARDS1 cases, to do the necessary discussion. Male patient, 40 years old, injured his right hip with a heavy load for 6 hours. He was admitted to our hospital on March 1, 2001. After admission by X-ray, CT radiography diagnosis: the right ischium, pubis, left pubis dislocation fracture. On the third day after hospitalization (72 hours after trauma), the patient developed chest tightness and shortness of breath with bloody sputum. The above symptoms continued to worsen for 4 days. The oxygen intake was 6L / min, SaO_2 increased to 84.2%, R38 / min, HR 118 / min,