气管切开机械通气治疗多发伤合并肺挫伤临床分析
刘杉;陈勇;胡宝森
【期刊名称】《中国医药科学》 【年(卷),期】2015(000)007
【摘要】Objective To analyze the clinical effect of mechanical ventilation of tracheotomy treatment of multiple trauma with pulmonary contusion.Methods 68 patients with multiple trauma combined pulmonary contusion in 500 patients with multiple trauma,who were selected as the research objects in our hospital from December 1995 to December 2010,were divided into tracheotomy group and non-tracheotomied group,with 34 cases in each group.To monitor the dynamic change of the patients regained consciousness,the subjective symptom,the vital signs of heart rate,rhythm,hematoid saturation,and blood pressure,the blood gas analysis,the oxygen index,and the X-ray appeara. To record all the research objects of the damage location,the injury severity score(ISS) which was the square sum of Indian physic AIS score as the evaluation standard of Abbreviated Injury Scale(AIS-90),the average using time of ventilator,the ICU monitoring time,the mortality within 1 month postoperative. Results The difference of damage location before operation in tracheotomy group compared with which in non-tracheotomied group was no statistical significance(P>0.05).The average using time of ventilator,the ICU monitoring time in tracheotomy
气管切开机械通气治疗多发伤合并肺挫伤临床分析
