国际医药卫生导报2019，Vol.25Issue(23)：3904-3907,4.DOI:10.3760/cma.j.issn.1007-1245.2019.23.028
早期间断血液滤过治疗严重胸外伤并创伤性湿肺患者的临床疗效分析
Early intermittent veno-venous hemofiltration for patients with severe thoracic trauma complicated with traumatic wet lung
庞国忠 1刘文帅 1周玲玲 1宋新峰 2秦昕东1
作者信息
- 1. 德州市人民医院ICU 253014
- 2. 德州学院医药与护理学院 253023
- 折叠
摘要
Abstract
Objective To investigate the effect of early intermittent veno-venous hemofiltration combined with mechanical ventilation for patients with severe thoracic trauma complicated with traumatic wet lung.Methods A total of 33 patients with severe thoracic trauma complicated with traumatic wet lung admitted to our hospital from October,2014 to July,2018 were selected,and were divided into a hemofiltration group(19 cases)and a control group(14 cases).The control group received conventional comprehensive treatment.On the basis of routine comprehensive treatment,the hemofiltration group received early intermittent veno-venous hemofiltration and mechanical ventilation.The records of these two groups' vital signs,hemodynamic parameters,oxygenation index,APACHE Ⅱ rating,etc.were collected.Results After the treatment,the extravascular lung water index(EVLWI)and APACHE Ⅱ score were significantly lower in the hemofiltration group than in the control group [(10.9±3.0)ml/kg vs.(13.9±5.1)ml/kg and(20.2±3.1)vs.(22.9±4.3,both P ＜ 0.05).The average mechanical ventilation time and the average ICU time were shorter in the hemofiltration group than in the control group [(12.3±4.4)d vs.(9.2±3.1)d and(13.6±9.8)d vs.(11.2±6.4)d,both P ＜ 0.05).Conclusion Early intermittent hemofiltration combined with mechanical ventilation could significantly improve the pulmonary function and prognosis and shorten the duration of mechanical ventilation patients with severe thoracic trauma complicated with traumaticwet lung.关键词
间断静脉-静脉血液滤过/严重胸外伤/创伤性湿肺/机械通气Key words
Veno-venous Hemofiltration/Severe thoracic trauma/Traumatic wet lung/Mechanical ventilation引用本文复制引用
庞国忠,刘文帅,周玲玲,宋新峰,秦昕东..早期间断血液滤过治疗严重胸外伤并创伤性湿肺患者的临床疗效分析[J].国际医药卫生导报,2019,25(23):3904-3907,4.
