Deng Y, Luo X, Zeng J, Xiao G, Tang A
Department of Emergency, Xiangya Hospital, Hunan Medical University, Changsha.
Hunan Yi Ke Da Xue Xue Bao. 1997;22(6):521-2, 526.
Twenty-eight patients with severe chest injuries were classified into 3 groups: fractures of rib, hemopneumothorax and lung injured. Their respiratory rate (RR), SpO2 and blood gas were analysed. The results showed that SpO2 and PaO2 in lung-injured group were the lowest and RR was the highest in the 3 groups. After HFJV, there was a significant rise in PaO2 and SpO2 (P < 0.05) and a gradual recovery of respiratory and pulse rates in lung-injured group. The results suggest that respiratory monitoring is important for patients with chest injuries and HFJV may be used as an effective ventilation method for treating patients with severe chest injuries.
28例严重胸部损伤患者被分为3组：肋骨骨折组、血气胸组和肺损伤组。分析了他们的呼吸频率（RR）、血氧饱和度（SpO2）和血气。结果显示，肺损伤组的SpO2和动脉血氧分压（PaO2）在3组中最低，RR最高。高频喷射通气（HFJV）后，肺损伤组的PaO2和SpO2显著升高（P<0.05），呼吸和脉搏率逐渐恢复。结果表明，呼吸监测对胸部损伤患者很重要，HFJV可作为治疗严重胸部损伤患者的有效通气方法。
