Mechanical ventilation treatment on acute respiratory distress syndrome in severe thoracic trauma

Objective:To explore the diagnosis of severe thoracic trauma complicated by acute respiratory distress syndrome(ARDS) and mechanical ventilation treatment.Methods:58 cases of severe thoracic trauma complicated by acute respiratory distress syndrome were reviewed.26 cases with traditional mechanical ventilation therapy,32 cases with pulmonary protective ventilation.Results:Average ventilator-carried time of traditional mechanical ventilation therapy group was 7.5 days,the incidence of ventilator associated pneumonia(VAP) was 50.0%,fatality rate was 38.5%.Average ventilator-carried time of pulmonary protective ventilation was 5.5 days,the incidence of VAP was 21.9%,fatality rate was 15.6%.Conclusion:The key of ARDS is the early diagnosis and prmpt therapy.Pulmonary protective ventilation in treating ARDS is more effective compared with the traditional mechanical ventilation therapy.It can obviously shorten the mechanical ventilation time and reduce the incidence of VAP and the fatality rate.