急性呼吸窘迫综合征的动态血气监测分析

Analysis of arterial blood gas for 110 patients with acute respiratory stress syndrome

目的探讨动态监测血气对急性呼吸窘迫综合征(ARDS)的早期诊断、治疗和预后判断的临床意义。方法回顾分析我院10年间危重病患者并发ARDS110例700次动脉血气分析、酸碱紊乱类型和氧合指数等资料。结果(1)酸碱失衡类型:110例中单纯酸碱紊乱41例;二重酸碱紊乱53例;三重酸碱紊乱16例;(2)氧合指数:110例患者的氧合指数均﹤26.7kpa,(3)110例ARDS治愈50例,死亡60例。结论通过对110例危重患者并发ARDS的血气分析,动态监测血气和计算氧合指数,对ARDS的早期诊断和治疗具有重要的临床价值,而正确分析、判断酸碱失衡类型是正确治疗和提高治愈率的重要环节。

Objective To explore the significance of dynamic determination of arterial blood gas for early diagnosis,treatment and prognosis of patients with acute respiratory stress syndrome （ARDS）. Methods The results of 700 times arterial blood gas assayed in 110 patients with ARDS were analysed retrospectively. Results （1） Types of acid-basic disturbance; The simply acid-base disturbances were 41 cases, Complex acid-base disturbances were 53 cases, Triple acid-base disturbances were 16cases. （2）The oxygenation indexes of all 110 patients were less than 26.7kpa. （3） The cured rate in 110 cases was 50 and the mortality was 60. Conclusions dynamic determination of arterial blood gas and calculation of oxygenation were of important clinical value in diagnosis and treatment of ARDS.