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就1348例严重创伤患者所发生的33例成人呼吸窘迫综合征(ARDS)的诊治情况,探讨了与ARDS发生相关的因素。资料显示创伤的类型、特别是胸部创伤与ARDS发生有明显的相关性。作者强调诊断上怀疑ARDS发生患者必须在ICU严密监测。本组所应用的创伤性ARDS发生指数公式I=PF-(N+T+F+M+X)对ARDS的早期确诊和提示病情发展趋势很有帮助;治疗上要掌握好抗休克与ARDS的关系,胸部外伤和全身的关系;要以提高氧输送和氧摄取为重点,具体要落实于提高氧饱和度和心排出量上。同时作者还介绍了呼吸机疗法对创伤性ARDS患者的应用。
Thirteen cases of adult respiratory distress syndrome (ARDS) occurred in 1348 severe traumatic patients, and the factors related to the occurrence of ARDS were explored. Data show that the type of trauma, especially chest trauma and ARDS have a significant correlation. The authors emphasize that patients diagnosed with suspected ARDS must be closely monitored at the ICU. The traumatic ARDS index formula I = PF- (N + T + F + M + X) used in this group is helpful for the early diagnosis of ARDS and indicates the trend of disease development. The treatment should grasp the relationship between anti-shock and ARDS, chest trauma and systemic ; To focus on improving oxygen delivery and oxygen uptake, specifically to improve the oxygen saturation and cardiac output. At the same time the author also introduced the use of ventilator therapy in patients with traumatic ARDS.