外科危重病人并发ARDS的防治

Prevention and Treatment of ARDS Complicated by Acute Severe Surgical Disease

目的探讨外科危重病人并发ARDS的诊治和预防要点。方法1989年12月至1996年12月40例外科危重病人作为Ⅰ组。1997年1月至2003年1月62例外科危重病人为Ⅱ组。比较两组诊治及并发ARDS情况,对病例资料进行回顾性分析。结果Ⅰ组40例外科危重病人并发ARDS12例,死亡6例,Ⅱ组62例外科危重病人并发ARDS13例,死亡3例。其发病率x2检验p>0.05,其死亡率x2检验p<0.05。结论早期诊断,尽早治疗是预防外科危重病人并发ARDS的关键。早期呼吸支持是治疗ARDS的重要措施。

Object: To study the diagnosis and treatment of ARDS complicated by acute severe surgical disease and the key for preventing. Methods: From Dec.1989 to Dec.1996, 40 patients of acute severe surgical disease as Ⅰ group were treated were compared to Ⅱ group that 62 patients from Jan.1997 to Jan.2003. As a result, there are 12 cases ARDS in Ⅰ group from them which 6 cases died. In Ⅱ group there are 13 cases ARDS ,which 3 cases died. The two groups were not significantly different in recur rate of ARDS(P>0.05),and they were significantly different in mortality rate (P<0.05).Conclusion Early diagnosis and treatment as soon as possible are the key point to prevent ARDS caused by acute severe surgical disease, early support of breath is very important in treating ARDS.