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目的探讨机械通气治疗高空坠落伤致肺挫裂伤的方法。方法38例重度肺挫伤患者,采用美国伟康ESPRIT型呼吸机,A/C模式辅助呼吸。治疗中采用i-stat掌式血气分析仪动态检测动脉血气分析,根据分析结果随时调整呼吸机参数。同时进行纠正休克、脱水、利尿等综合治疗。合并伤均得到及时手术治疗。结果38例患者治愈35例,治愈率92.1%。结论重度肺挫裂伤经吸氧等综合治疗,心肺功能恶化或心肺功能不稳定者通过及时采取机械通气辅助呼吸治疗可明显提高治愈率。
Objective To investigate the method of mechanical ventilation for treatment of pulmonary contusion and laceration caused by fall injury. Methods Thirty - eight patients with severe pulmonary contusion were treated with American Weikang ESPRIT ventilator and A / C mode. Treatment using i-stat palm blood gas analyzer dynamic detection of arterial blood gas analysis, according to the results of the analysis of ventilator parameters at any time. At the same time to correct shock, dehydration, diuretic and other comprehensive treatment. Combined injuries were timely surgical treatment. Results 38 patients were cured in 35 cases, the cure rate was 92.1%. Conclusion Severe lung contusion and laceration by oxygen and other comprehensive treatment, worsening cardiopulmonary function or cardiorespiratory instability by mechanical ventilation to take timely respiratory assistance can significantly improve the cure rate.