Clinical diagnosis and treatment analysis of chest trauma-induced acute respiratory distress syndrome in 100 patients

Objective To investigate the clinical diagnosis and treatment analysis of chest trauma induced respiratory distress syndrome(ARDS),to provide a theoretical basis for its diagnosis and treatment.Methods Analysis of clinical data of 100 patients with chest trauma induced ARDS,and all patients were randomly divided into the treatment group and the control group,50 patients,the treatment group received low tidal volume ventilation,the control group was given conventional tidal volume ventilation treatment were observed effect and blood gas analysis.Results Age ≥60 years of age ≥28 times / min,respiratory rate,systolic blood pressure ≥12kPa,rib fractures ≥4,≥16 with chest trauma and the development of ARDS associated with pulmonary contusion and abdominal visceral injury and ISS values closely related(P0.01),treatment group distension by the high airway pressure,VAP,MODS,and the number of deaths was significantly lower than the control group,and the ventilation time was significantly less than that of the control group,the differences were statistically significant(P0.01).Conclusion High age,dyspnea,multi-fracture of rib,pulmonary contuse,injury of abdomen organs,complications of respiratory system and levels of ISS are high risk factors influencing ARDS after thoracic trauma.The mechanicalventilation with low volume plus PEEP fails to improve effect of oxygenation in the course of treatment of ARDS after thoracic trauma.