Retrospective study of mechanical ventilation in treating multiple trauma accompanied with craniocerebral injury.
OBJECTIVE
To explore the importance of mechanic al ventilation (MV) in treating multiple trauma mainly accompanied with cerebral injury and improve the treatment level.


METHODS
All 116 patients who suffered from multiple trauma accompanied with mainly cerebral injury were analyzed. Rank correlation and Chi-square test were made between MV with GCS, ISS, and whether shock or not.


RESULTS
The MV was correlated with GCS, ISS scores, and whether shock or not markedly. Furthermore, when GCS <or=8, the ratio of MV was about 70%. When ISS >or=35, the ratio of MV was about 85%.


CONCLUSIONS
During the treatment of multiple trauma accompanied with cerebral injury, the principle of "early MV, early withdraw" and "individualism" should be insisted on. For patients accompanied with shock, the optimum PEEP is very important. Proper and active MV is of great importance and can improve the treatment level markedly.
Wu
X
X
Department of Emergency, 2nd Affiliated Hospital, Medical Institute of Zhejiang University, Hangzhou 310009, China.
Cheng
Y
Y
Gan
J
J
Shi
X
X
Jiang
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000401:mortality / Q000628:therapy*; D016009:Chi-Square Distribution; D002681:China / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D012121:Respiration, Artificial; D012189:Retrospective Studies; D015599:Trauma Severity Indices