tailieunhanh - Báo cáo y học: " Endothelial Computed tomographic assessment of lung weights in trauma patients with early posttraumatic lung dysfunction"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Endothelial Computed tomographic assessment of lung weights in trauma patients with early posttraumatic lung dysfunction. | Reske et al. Critical Care 2011 15 R71 http content 15 1 R71 KS CRITICAL CARE RESEARCH Open Access Computed tomographic assessment of lung weights in trauma patients with early posttraumatic lung dysfunction Ạ nrlfCQc A Doclzo1 D Doclzo2t Till I loiHQ3 Dotor M Qr joi l i2 AfifiTi D I I1 Qoi A orf c4 AnQieds W Reske AlexdnQei P Reske I III Heine Petei M spietii Al II Id Rdu Mdttnids seiweits I_I í I Z D I I r r Z 4 I I Z z í Z S t r r L I z l 1 Dnd C -L r it w5 G I k ú I D r rz 6 It z -s z z Z I z m z l ỉ I I I2 L VI r 1 z L I r rlr 3 HdidlQ Busse UQo uottscndlQt Dieik scnieitei Siivid Boin Mdiceio Gdmd Qe Abieu CRiistopn Josten Hermann Wiigge1 Mdicelo BP Amdto7 Abstract Introduction Qudntitdtive computed tomography qCT -bdseQ dssessment of totdl lung weight Mlung hds the potentidl to Qiffeientidte dtelectdsis fiom consoliQdtion dnQ could thus provide vdludble infoimdtion foi mdndging tidumd pdtients fulfilling commonly useQ ciiteiid foi dcute lung injuiy ALI . We hypothesizeQ thdt qCT woulQ iQentify dtelectdsis ds d frequent mimic of edily posttidumdtic ALI. Methods In this prospective obseivdtiondl stuQy M ung wds cdlculdteQ by qCT in 78 mechdnicdlly ventildteQ tidumd pdtients fulfilling the ALI ciiteiid dt dQmission. A reference inteivdl foi Mlung wds QeiiveQ from 74 tidumd pdtients with moiphologicdlly dnQ functiondlly noimdl lungs reference . Results die given ds meQidns with inteiquditile ranges. Results The idtio of diteiidl pditidl pressure of oxygen to the fraction of inspiieQ oxygen wds 560 506 to 616 mmHg in reference pdtients dnQ 169 95 to 240 mmHg in ALI pdtients. The meQidn reference Mlung vdlue wds 885 771 to 973 g dnQ the reference inteivdl foi Mlung wds 584 to 1164 g which mdtcheQ thdt of previous reports. Despite the significdntly giedtei meQidn Mlung vdlue 1088 862 to 1 342 g in the ALI group 46 59 ALI pdtients hdQ Mlung vdlues within the reference inteivdl dnQ thus most likely hdQ dtelectdsis. In only 17 pdtients 22 Mlung wds .