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目的探讨严重胸外伤致急性呼吸窘迫综合征的诊断和治疗。方法对89例严重胸外伤并发急性呼吸窘迫综合征(ARDS)患者的诊断、治疗进行分析与总结。结果全组89例,死亡22例,死亡率为25%,主要死亡原因是多器官功能衰竭(MSOF)。结论早期诊断,保持呼吸道通畅,正确使用呼吸机治疗,及时处理休克和多发伤等综合治疗,是降低本病死亡率的有效方法。
Objective To investigate the diagnosis and treatment of acute respiratory distress syndrome caused by severe chest trauma. Methods The diagnosis and treatment of 89 patients with severe chest trauma complicated with acute respiratory distress syndrome (ARDS) were analyzed and summarized. Results The whole group of 89 patients, 22 died, the mortality rate was 25%, the main cause of death was multiple organ failure (MSOF). Conclusions Early diagnosis, maintaining the airway patency, proper use of ventilator treatment, timely treatment of shock and multiple injuries and other comprehensive treatment is an effective way to reduce the mortality of this disease.