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目的分析颅脑损伤合并急性肺损伤(ALI)患者的危险因素。方法连续选择近期住院的颅脑损伤137例,并按住院后5 d内有无发生ALI分组,观察同期相关危险因素指标。结果 137例颅脑损伤患者急性期发生ALI32例,患病率23.36%。未发生ALI 105例(对照组)。合并ALI组平均年龄、呼吸频率、PaO2/Fi O2、呕吐误吸例数、合并胸外伤例数、复合伤例数和呼吸道疾病史例数均明显高于对照组,而入院时GCS评分和NDS评分则显著低于后者(P均<0.05~0.01)。结论颅脑损伤合并ALI患者存在明确危险因素。
Objective To analyze the risk factors of patients with craniocerebral injury complicated with acute lung injury (ALI). Methods One hundred and fourty consecutive cases of traumatic brain injury in hospital were selected consecutively. ALI grouping was performed within 5 days after hospitalization and the related risk factors were observed. Results 137 cases of craniocerebral injury in patients with acute ALI occurred in 32 cases, the prevalence was 23.36%. No ALI occurred in 105 cases (control group). The average age, respiration rate, PaO2 / Fi O2, vomiting and aspiration cases, combined thoracic injury cases, combined injury cases and respiratory disease patients in the combined ALI group were significantly higher than those in the control group. The admission GCS score and NDS Score was significantly lower than the latter (P <0.05 ~ 0.01). Conclusion There are definite risk factors for patients with craniocerebral injury and ALI.