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目的:探讨复合颅脑创伤后病人急性呼吸功能不全(ARD)的危险因素。方法:回顾性分析了6年来收治的100例外科复合颅脑创伤后患者的临床资料,以ARD为因变量、与其可能相关的10项因素为自变量进行统计学分析,以确定ARD的高危因素。结果综合分析显示,全身炎症反应综合征(SIRS)、休克时间>12小时、创伤严重程度等级评分(ISS)≥24分、肺挫伤、呼吸系统并存病〔如慢性阻塞性肺疾病(COPD)、肺炎〕、年龄≥55岁是ARD的高危因素。结论复合颅脑创伤后具有以上高危因素的患者应加强监测治疗,以减少ARD和多器官功能衰竭(MOF)的发生。垚
Objective: To investigate the risk factors of acute respiratory insufficiency (ARD) in patients with complex traumatic brain injury. Methods: The clinical data of 100 patients with traumatic brain injury complicated with traumatic brain injury admitted in 6 years were retrospectively analyzed. ARD was used as the dependent variable and 10 possible factors were analyzed as the independent variables to determine the risk factors of ARD . Results Comprehensive analysis showed that SIRS, shock time> 12 hours, trauma severity score (ISS) ≥ 24 points, pulmonary contusion, comorbid respiratory diseases [such as chronic obstructive pulmonary disease (COPD), chronic obstructive pulmonary disease Pneumonia], age ≥ 55 years old is a risk factor for ARD. Conclusion Patients with above-mentioned risk factors should be monitored intensively to reduce ARD and multiple organ failure (MOF) after combined traumatic brain injury.垚