重症监护病房中急性呼吸窘迫综合症的预后危险因素分析

Analysis of risk factors of prognosis of acute respiratory syndrome in the intensive care unit

目的分析研究重症监护病房(ICU)急性呼吸窘迫综合症(ARDS)患者的预后危险因素。方法选取2010年1月—2013年1月在该院重症监护病接受治疗的急性呼吸窘迫综合症的110例患者作为研究对象,应用1992年通过的ARDS诊断标准,对患者持续治疗24h之后,对其临床效果进行观察。结果 110例急性呼吸窘迫综合症患者中肺源性患者和肺外源性患者分别为48例和62例,根据对资料的研究分析,我们得出急性呼吸窘迫综合症的死因除了与患者年龄、基础疾病、多功能器官功能障碍、住院时间的治疗有关外,脓毒性休克和心功能衰竭是导致急性呼吸窘迫的最大元凶。结论急性呼吸窘迫综合症是一种死亡率较高的疾病,脓毒性休克和心功能衰竭是导致急性呼吸窘迫高死亡率的主要因素。

Objective To research and analysis the dangerous factor of prognosis for the patients of ARDS who were in the ICU. Method Selected 110 cases patients who were treated in the ICU encountered ARDS from January 2010to January 2013 as the object of study. We use the diagnostic criteria based on 1992, after continued 24 hours＇ treating, we observe the clinical effect for them. Results There are 48 cases of pulmonary originated and 62 cases nonpulmonary originated. According to the analysis of the 110 cases patients, we have a conclusion that it was related to the age, basic diseases, multiple organ dysfunction, length of stay in the hospital and so on. Septic shock and heart failure were the major causes of death. Conclusion ARDS is a kind of disease with high mortality rate. Septic shock and heart failure were the major causes.