地震伤病人并发ARDS的危险因素研究
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摘要
[目的]探讨分析地震伤病人并发急性呼吸窘迫综合征(ARDS)的危险因素,为临床预防和诊治及护理提供指导。[方法]回顾性研究四川省人民医院"5·12"大地震后收治的860例地震伤病人的病历资料,采用统计学方法探讨地震伤病人并发ARDS的危险因素。[结果]年龄、严重创伤后的低血压、大量输血、低氧血症、挤压综合征与ARDS的发生有相关性。[结论]年龄、严重创伤后的低血压、大量输血、低氧血症、挤压综合征是地震伤病人并发ARDS的高危因素。
Objective:To probe into and to analyze risk factors of earthquake injury patients complicated with acute respiratory distress syndrome (ARDS),so as to provide some instructions for clinic prevention,diagnosis and treatment and nursing care.Methods:Data of a total of 860 earthquake injury patients hospitalized in people's hospital of Sichuan province during 5·12 earthquakes were studied retrospectively.Then statistical methods were adopted to probe into risk factors of earthquake injury patients complicated with acute respiratory distress syndrome.Results:Age,hypotension induced by severe trauma,large amount of blood transfusion,hypoxemia and crush syndrome of patients has positive correlation with the incidence of ARDS.Conclusion:Age,hypotension induced by severe trauma,large amount of blood transfusion,hypoxemia and crush syndrome are the high risk factors of earthquake injury patients complicating with ARDS.
Objective:To probe into and to analyze risk factors of earthquake injury patients complicated with acute respiratory distress syndrome (ARDS),so as to provide some instructions for clinic prevention,diagnosis and treatment and nursing care.Methods:Data of a total of 860 earthquake injury patients hospitalized in people's hospital of Sichuan province during 5·12 earthquakes were studied retrospectively.Then statistical methods were adopted to probe into risk factors of earthquake injury patients complicated with acute respiratory distress syndrome.Results:Age,hypotension induced by severe trauma,large amount of blood transfusion,hypoxemia and crush syndrome of patients has positive correlation with the incidence of ARDS.Conclusion:Age,hypotension induced by severe trauma,large amount of blood transfusion,hypoxemia and crush syndrome are the high risk factors of earthquake injury patients complicating 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 american-european consensus conference of ARDS:Definitions,mechanisms,relevant outcomes,and clinical trial coordination[J].AmJ Respir Crit Care Med,1994,149:818-824.
[4]Ware LB,Mathay MA.The acute respiratory distress syndrome[J].N Engl J Med,2000,342:1134-1139.
[5]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 american-european consensus conference of ARDS:Definitions,mechanisms,relevant outcomes,and clinical trial coordination[J].AmJ Respir Crit Care Med,1994,149:818-824.
[4]Ware LB,Mathay MA.The acute respiratory distress syndrome[J].N Engl J Med,2000,342:1134-1139.
[5]Mark KL,Michael AG,Michael AM.Transfusion-related acute lunginjury[J].Chest Jul,2004,126:249-258.
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