Clinical study on VATS combined mechanical ventilation treatment of ARDS secondary to severe chest trauma

Qi,Yongjun

doi:10.3892/etm.2016.3355

Clinical study on VATS combined mechanical ventilation treatment of ARDS secondary to severe chest trauma

Authors:
- Yongjun Qi
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Affiliations: Department of Thoracic Surgery, Beijing Mentougou Hospital, Beijing 102300, P.R. China
Published online on: May 18, 2016 https://doi.org/10.3892/etm.2016.3355
Pages: 1034-1038
Copyright: © Qi . This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The aim of the study was to investigate the clinical effects of microinvasive video‑assisted thoracoscopic surgery (VATS) combined with mechanical ventilation in the treatment of acute respiratory distress syndrome (ARDS) secondary to severe chest trauma. A total of 62 patients with ARDS secondary to severe chest trauma were divided into the observation and control groups. The patients in the observation groups were treated with VATS combined with early mechanical ventilation while patients in the control group were treated using routine open thoracotomy combined with early mechanical ventilation. Compared to the controls, the survival rate of the observation group was significantly higher. The average operation time of the observation group was significantly shorter than that of the control group, and the incidence of complications in the perioperative period of the observation group was significantly lower than that of the control group (p<0.05). The average application time of the observation group was significantly shorter than that of the control group, and the incidence of ventilator‑associated complications was significantly lower than that of the control group (p<0.05). In conclusion, a reasonable understanding of the indications and contraindications of VATS, combined with early mechanical treatment significantly improved the success rate of the treatment of ARDS patients secondary to severe chest trauma and reduced the complications.

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