摘要
目的 对急性呼吸窘迫综合征 (ARDS)行机械通气治疗进行观察分析。方法 对 2 7例ARDS患者采用同步间歇指令通气加压力支持 (SIMV +PSV) ,应用较低潮气量 ( 6~ 10ml/kg) ,吸入氧浓度 (FiO2 ) <5 0 % ,PEEP≤15cmH2 O。结果 2 3例存活 (占 85 .19% ) ,4例死亡 (占 14 .81% )。结论 造成ARDS患者死亡的主要原因为并发多器官功能障碍综合征 (MODS)。早期控制原发病是ARDS治疗的关键 。
Objective:Observation of mechanical ventilation therapy in acute respiratory distress syndrome (ARDS).Methods:27 cases of ARDS were adopted synchronized intermittent mandatory ventilation and pressure support ventilation (SIMV+PSV),low tidal volume (6~10ml/kg) was used,FiO<50% and positive end expiratory pressure (PEEP)<15cmH 2O were used.Result:23 cases were survived (85.19%),4 cases were dead (14.81%).Conclusion:The main causes of death were ARDS complicated with MODS (Multiple Organ Dysfunction Syndrome),control primary disease is key for ARDS treatment,mechanical ventilation therapy is an important method for treatment process.
出处
《青海医学院学报》
CAS
2001年第3期14-14,36,共2页
Journal of Qinghai Medical College
关键词
急性呼吸窘迫综合征
机械通气
Acute respiratory distress syndrome mechanical ventilation therapy