65例急性呼吸窘迫综合征的临床分析

Clinical analysis of sixty-five patients with acute respiratory distress syndrome

目的分析急性呼吸窘迫综合征(ARDS)的临床特点、转归、治疗方法及疗效。方法对65例ARDS患者的临床资料进行分析。结果本组ARDS患者病死率为60%。ARDS是由多种病因和诱发因素引起、以呼吸窘迫和难以纠正的低氧血症为主要特征的临床综合征,起病急,病情凶险,病死率高。结论合并多器官功能障碍(MODS)者预后不良。机械通气是治疗ARDS的极其重要的手段,迅速有效地纠正严重的低氧血症是救治ARDS患者的关键,应用肾上腺皮质激素、白蛋白及血浆等可以轻度改善ARDS的转归。

Objective To analyze the clinical characteristic and turnover,treatment method and curative effect of acute respiratory distress syndrome. Methods Clinical data of sixty - five ARDS patients were analyzed. Results The casefatality rate of ARDS patients in this group is 60%. ARDS is caused by many etiopathogenisis and causative factor, it is a clinical syndrome that manifestations are respiratory distress and hypoxenfia which hard to been retrieved. ARDS patients onsets are acute,pathogenetic conditions are serious,and have high case -fatality rate. Conclusion The ARDS patient which complicating MODS is unfavourable prognosis. Mechanical ventilation is a vital treatment for ARDS, the criticality treatment for ARDS is that the hypoxemia been retrieved quickly. The turnover of ARDS patients can be improved lightly from adrenocortical hormone or albumin and blood plasma been used.