急性肺损伤和急性呼吸窘迫综合征的诊断与治疗

Diagnosis and treatment of acute lung injury and acute respiratory distress syndrome

目的:探讨急性呼吸窘迫综合征的诊断方法及规范化的治疗手段。方法:收治符合ARDS诊断标准的患者85例,观察组给予符合肺保护通气策略的规范化综合治疗,增加个体化改善策略;对照组给予以人工机械通气为主的常规综合治疗。结果:治疗3 d后,观察组SaO_2、PaO_2、氧合指数(PaO_2/FiO_2)明显高于对照组,差异均有统计学意义(P<0.05)。结论:急性呼吸窘迫综合征病情危急,及时、正确的诊断,规范、有效治疗是提高救治率、降低病死率的重要保证。

Objective:To explore the diagnosis and standardized treatment methods of acute respiratory distress syndrome.Methods:55 cases of patients with ARDS diagnostic criteria were selected.Patients in the observation group were treated withstandardized comprehensive treatment which in line with lung protective ventilation strategy,and individual improvement strategywas increased.Patients in the control group were treated with routine comprehensive treatment,mainly by artificial mechanicalventilation.Results:After 3 days of treatment,the SaO2,PaO2,oxygenation index(PaO2/FiO2)of the observation group weresignificantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Patientswith acute respiratory distress syndrome have a very critical condition.Timely diagnosis and effective treatment are importantguarantee to improve the treatment rate and reduce the mortality.