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[目的]总结严重胸外伤诱发的急性呼吸窘迫综合征的临床诊断及治疗方法。[方法]回顾性分析我院救治的严重胸外伤诱发的急性呼吸窘迫综合征(Acute respiratory distress syndrome,ARDS)患者56例,并对其诊断、治疗结果进行统计学分析。[结果]经肺保护性通气、药物等积极的对症治疗,56例ARDS患者治愈47例(83.9%),死亡9例(16.1%),其中多器官功能衰竭为最主要的致死因素。[结论]早期诊断及采取有效的治疗措施如及时处理多发伤、正确使用呼吸机、保持呼吸道通畅及积极的抗休克治疗等综合治疗,可大幅降低重胸外伤诱发的ARDS病死率。
[Objective] To summarize the clinical diagnosis and treatment of acute respiratory distress syndrome induced by severe chest trauma. [Methods] A retrospective analysis of 56 cases of acute respiratory distress syndrome (ARDS) caused by severe thoracic trauma in our hospital was performed and the results of diagnosis and treatment were analyzed statistically. [Results] In 56 cases of ARDS patients, 47 cases (83.9%) were cured and 9 cases (16.1%) died of ARDS. Among them, multiple organ failure was the most important lethal factor. [Conclusion] Early diagnosis and effective treatment measures such as timely treatment of multiple trauma, correct use of ventilator, keeping of airway and active anti-shock therapy can significantly reduce ARDS mortality caused by traumatic brain injury.