地震伤患者并发ARDS的危险因素分析
|
摘要
目的探讨分析地震伤患者并发ARDS的危险因素。方法回顾性研究四川省人民医院"5.12"大地震后收治的符合纳入标准的896例地震伤患者的病历资料,采用统计学方法探讨地震伤患者并发ARDS的危险因素。结果统计学分析显示:年龄,严重创伤后的低血压、大量输血、缺氧血症、挤压综合征及气性坏疽和ARDS的发生呈相关性,是地震伤患者并发ARDS的危险因素。结论年龄、严重创伤后的低血压、大量输血、缺氧血症,挤压综合征及气性坏疽是地震伤患者并发ARDS的高危因素。
Objective To explore and analyxe the risk factors in earthquake-injured patients complicated with ARDS.Methods This is a petrospective study for all qualified earthquake-injured patients treated in the Sichuan Provincial People' Hospital after"5·12" earthquake and an analysis of risk factors in earthquake-injured patients complicated with ARDS using statistical methods.Results Statistical analysis showed that age,hypotension duration.hypoxemia duration and massive transfusion after server trauma;crush syndrome and gasgangrene are related with ARDS and they are risk factors in earthquake-injured patients complicated with ARDS.Conclusion Age、hypotension duration、hypoxemia duration and massive transfusion after server trauma;crush syndrome and gas gangrene are risk factors in earthquake-injured patients complicated with ARDS.
Objective To explore and analyxe the risk factors in earthquake-injured patients complicated with ARDS.Methods This is a petrospective study for all qualified earthquake-injured patients treated in the Sichuan Provincial People' Hospital after"5·12" earthquake and an analysis of risk factors in earthquake-injured patients complicated with ARDS using statistical methods.Results Statistical analysis showed that age,hypotension duration.hypoxemia duration and massive transfusion after server trauma;crush syndrome and gasgangrene are related with ARDS and they are risk factors in earthquake-injured patients complicated with ARDS.Conclusion Age、hypotension duration、hypoxemia duration and massive transfusion after server trauma;crush syndrome and gas gangrene are risk factors in earthquake-injured patients complicated with ARDS.
引文
[1]张学军.胸部创伤并发ARDS治疗体会[J].河北医药,2002,24:601
[2]蔺锡侯.交通事故伤致成人呼吸窘迫综合征发病因素探讨[J].中华创伤杂志,1993,9(2):75
[3]Bernard GR,Artigas A,Brigham KL,et al.The americam-europeanconsensus conference of ARDS:definitions,mechanisms,relevant out-comes,and clinical trial coordination[J].Am J Respir Crit Care Med,1994,149:818~824
[4]Ware LB,Mathay MA.The acute respiratory distress syndrome[J].NEngl J Med,2000,342:1134~1139
[5]Ziberberg MD,Epstein SK.Acute lung injury in the medical ICU:age,etiology,and hospital outcome[J].Am Respir Crit Med,1998,157(4Pt 1):1159~1164
[6]Mark KL,Michael AG,Michael AM,Transfusion-related acute lunginjury[J].Chest Jul,2004,126:249~258
[2]蔺锡侯.交通事故伤致成人呼吸窘迫综合征发病因素探讨[J].中华创伤杂志,1993,9(2):75
[3]Bernard GR,Artigas A,Brigham KL,et al.The americam-europeanconsensus conference of ARDS:definitions,mechanisms,relevant out-comes,and clinical trial coordination[J].Am J Respir Crit Care Med,1994,149:818~824
[4]Ware LB,Mathay MA.The acute respiratory distress syndrome[J].NEngl J Med,2000,342:1134~1139
[5]Ziberberg MD,Epstein SK.Acute lung injury in the medical ICU:age,etiology,and hospital outcome[J].Am Respir Crit Med,1998,157(4Pt 1):1159~1164
[6]Mark KL,Michael AG,Michael AM,Transfusion-related acute lunginjury[J].Chest Jul,2004,126:249~258
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心