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目的探讨重型胸外伤后急性呼吸窘迫综合征的预防及抢救措施。方法对37例患者进胸腔闭式引流、开胸止血、抗感染及机械通气等治疗。结果 37例患者抢救成功32例(86.5%),死亡5例。无1例出现呼吸机所致的气胸,气体栓塞等并发症。结论重型胸外伤后急性呼吸性窘迫综合征的早期发现、早期诊断及恰当的呼吸支持治疗,是临床成功治疗ARDS的关键。
Objective To investigate the prevention and treatment of acute respiratory distress syndrome after severe thoracic trauma. Methods Thirty-seven patients underwent closed thoracic drainage, thoracotomy, anti-infection and mechanical ventilation. Results 37 patients were successfully treated in 32 cases (86.5%) and 5 died. No one case of complications caused by ventilator pneumothorax, gas embolism. Conclusion The early detection, early diagnosis and appropriate respiratory support for acute respiratory distress syndrome after severe thoracic trauma are the keys to the successful clinical treatment of ARDS.