胸外科术后并发成人呼吸窘迫综合征临床分析

Clinical analysis of postoperative adult respiratory distress syndrome in thoracic surgery

目的探讨胸外科术后并发成人呼吸窘迫综合征的临床特征及治疗方法。方法对31例胸外科术后并发成人呼吸窘迫综合征患者的临床资料进行回顾性分析，内容包括临床表现、治疗方法、临床疗效等。结果31例胸外科术后并发成人呼吸窘迫综合征患者机械通气时间为（7．62±1．98）d，经治疗后氧分压（PaO2）较之前显著提高，而二氧化碳分压（PaCO2）、pH值则较之前显著降低，临床总有效率高达87．10％，与无效率（12．90％）比较差异有统计学意义（P〈0．05）。结论临床医生应准确掌握胸外科术后并发成人呼吸窘迫综合征的临床特征．对疑似病例积极给予各项检查确诊病情并提供针对性的治疗措施，保障患者的生活质量及生命安全。

Objective To investigate the clinical features and treatment of postoperative adult respiratory distress syndrome in thoracic surgery. Methods The clinical data of 31 cases of adult respiratory distress syndrome after thoracic surgery were retrospectively analyzed, including clinical presentation, treatment, and clinical efficacy. Results The postoperative mechanical ventilation time was （7.62 ± 1.98 ） d, after the appropriate treatment, the partial pressure of oxygen （ PaO2 ） significantly improved compared with before, and carbon dioxide partial pressure （ PaCO2 ）, pH were significantly lower than before, the total clinical efficiency was up to 87.10%, comparing with the inefficiency, there was significant difference （P 〈 0.05 ）. Conclusions Clinicians should accurately grasp the clinical features of postoperative adult respiratory distress syndrome in thoracic surgery, the suspected cases are diagnosed positive given the targeted treatment, to ensure the quality of life and protect the lives and safety of patients.