2006•Zhongguo xiandai yixue/Zhongguo xiandai yixue zazhiRequires access
Mechanical ventilation treatment on acute respiratory distress syndrome in severe thoracic trauma
Yafu Zhou
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Abstract
[Objective] To explore the diagnosis of severe thoracic trauma complicated by acute respiratory distress syndrome(ARDS)and mechanical ventilation treatment.[Methods] 62 cases of severe thoracic trauma complicated by acute respiratory distress syndrome were reviewed.39 cases with traditional ventilation strategy,23 cases with a protective ventilation strategy.[Results] Average ventilator-carried time of traditional ventilation strategy group was(6.2±1.6)days and mortality was 46.16 %.Average ventilator-carried time of protective ventilation strategy was(4.8±2.1)days and mortality was 21.09 %.[Conclusion] The key of ARDS is the early diagnosis and ventilation strategy.Protective ventilation strategy in treating ARDS is more effective compared with the traditional ventilation strategy.It can obviously shorten the ventilator-carried time and reduce the mortality of ARDS.