胸外科术后急性呼吸窘迫综合征的临床观察

Clinical Observation of Acute Respiratory Distress Syndrome After Operation in Department of Thoracic Surgery

目的探讨胸外科术后急性呼吸窘迫综合征的临床防治措施及其临床效果。方法选取近期来我院行胸外科手术治疗,且术后并发急性呼吸窘迫综合征患者80例,患者一经确诊为急性呼吸窘迫综合征,转入ICU病房,给予呼吸机辅助呼吸,增强吸氧浓度;积极对症处理患者的原发疾病;严格控制患者入水量,确保胸腔引流通畅;给予敏感抗生素抗感染;加强营养支持。结果 80例患者经临床治疗后,其PaO_2、PaCO_2、RR、HR、MAP及BH等各项临床指标均得到了显著的改善,P<0.05比较差异具有统计学意义。80例患者经临床治疗后,70例痊愈(97.5%),10例死亡(12.5%)。结论综合疗法是目前治疗胸外科术后急性呼吸窘迫综合征最为有效的方式。

Objective To investigate the clinical control measures and clinical effect of acute respiratory distress syndrome after operation in Department of thoracic surgery. Methods In recent years, our hospital thoracic surgery, and postoperative acute respiratory distress syndrome in 80 cases, patients were diagnosed as acute respiratory distress syndrome into ICU, ventilator assisted breathing, oxygen concentration enhancement, active symptomatic treatment of patients with primary disease, strictly control the patient into the water to ensure drainage unobstructed, give sensitive antibiotic resistance to infection and nutritional support. Results After clinical treatment, 80 cases of patients with PaO_2, PaCO_2, RR, HR, MAP and BH and other clinical indicators have been significantlyimproved, P〈0.05 comparison has statistical significance. After clinical treatment, 70 cases were cured（97.5%）, 10 cases died（12.5%）. Conclusion Comprehensive therapy is the most effective method for the treatment of acute respiratory distress syndrome.