摘要
目的探讨胸部闭合性损伤在ICU监护下的临床表现及处理后的病情转归。方法将116例胸部闭合性损伤患者分为两组,每组58例,一组进行常规ICU监护,二组加用有创监测,中心静脉压监测,进行对比分析。结果两组胸部闭合性损伤患者,一组常规ICU监护除胸部情况外,异常39例,占67.2%,而加用有创监测,中心静脉压监测的异常47例,占81.03%。92例患者病情稳定转出ICU监护病房,13例患者再次进行二期手术,死亡11例,占9.5%。结论胸部闭合性损伤多为合并伤,伤情危重、变化迅速,ICU监护可以及时发现病情变化,对临床治疗有决定性的意义。对较为危重及有危重倾向的患者加用有创的中心静脉压监测非常必要,能够更早的提供血液动力学的变化,尽早的发现病情的变化,能够得到积极的处理。
Objective To explore chest blunt trauma care in the ICU the clinical manifestations and the disease prognosis and timely treatment.Methods Total 116 patients with blunt thoracic injury patients were divided into two groups,each group 58 cases,a group of routine ICU monitoring,two groups added with invasive monitoring,central venous pressure monitoring,were analyzed.Results Both thoracic blunt trauma patients,a group of routine ICU care among breast circumstances,abnormal 39 cases accounted for 67.2%,but increases in use of invasive monitoring,central venous pressure monitoring,abnormal in 47 cases accounted for 81.03%.92 cases of patient safety in a stable condition to switch out of ICU care unit,13 patients were again two operations,deaths in 11 cases accounted for 9.5%.Conclusion The thoracic blunt trauma,mostly associated injuries,injuries critical,rapidly changing,ICU care can be promptly detected condition change is transferred to the clinical treatment with a decisive importance.To the critically ill patients increase the use of invasive central venous pressure is necessary,the provision of an earlier hemodynamic changes,changes in the early discovery of the disease can be actively addressed.
出处
《医药论坛杂志》
2010年第6期28-29,32,共3页
Journal of Medical Forum
关键词
胸部闭合性损伤
ICU监护
中心静脉压监测
临床表现及处理
Blunt chest injuries
ICU monitoring
Central venous pressure monitoring
Clinical manifestations and treatment
