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目的:总结胸部创伤并发急性呼吸窘迫综合症(ARDS)患者的诊治经验。方法:回顾性研究2000年1月-2008年12月期间我院21例胸部创伤并发ARDS患者的临床资料。结果:本组21例患者均采取以呼吸机辅助通气为主的综合治疗措施,21例患者中治愈15例,死亡4例,2例放弃治疗。结论:严重的胸部创伤并发ARDS死亡率极高,早期诊断和及时正确地采用机械通气为主的综合治疗是成功救治胸部创伤并发ARDS患者的关键。
Objective: To summarize the diagnosis and treatment of patients with chest trauma complicated with acute respiratory distress syndrome (ARDS). Methods: The clinical data of 21 patients with chest trauma complicated with ARDS from January 2000 to December 2008 in our hospital were retrospectively studied. Results: Twenty-one patients in this group were treated with ventilator-assisted ventilation. Among 21 patients, 15 were cured, 4 were died, and 2 were given up treatment. Conclusions: Severe thoracic trauma complicated by ARDS has a very high mortality rate. Early diagnosis and prompt and proper mechanical ventilation-based comprehensive treatment are the keys to successfully treating patients with chest trauma complicated with ARDS.