食管贲门癌术后急性呼吸窘迫综合征的早期诊断和防治

Early Diagnosis and Treatment of ARDS after Operation of Esophageal Cardiac Cancer

目的总结食管贲门癌术后急性呼吸窘迫综合征(ARDS)早期诊断与治疗的经验。方法对1987年12月—2004年12月,本院48例食管贲门癌手术后发生ARDS的临床资料进行回顾分析。结果死亡19例,其中早期诊断、早期治疗者死亡率低(2/15)。结论早期诊断,及早采用机械通气,控制感染,纠正休克,维护重要脏器功能,是防治ARDS的关键。

Objective To review the experience in early diagnosis and treatment of acute respiratory distress syndome （ARDS） after operation of esophageal cardiac cancer. Methods Retrospective analysis was performed on 48 ARDS patients after operation of esophageal cardiac cancer. Results Of them, 19 ones died after operation, Low mortality was found in those whose diagnosis and mechanical ventilation were done early, Conclusion The crux of preventing and curing ARDS is early diagnosis and early mechanical ventilation in addition to infection control and guard at function of important organs.