Hunt-Hess分级Ⅳ-Ⅴ级颅内动脉瘤并发ARDS的高危因素及护理策略

High Risk Factors of Hunt-Hess Grade Ⅳ-Ⅴ Intracranial Aneurysm Complicated with ARDS and Care Strategy

目的分析高分级颅内动脉瘤继发急性呼吸窘迫综合症(acute respiratory distress syndrome,ARDS)的高危因素,根据高危因素采取综合护理措施。方法对我科近5年来19例高分级颅内动脉瘤合并ARDS的病人资料进行回顾性分析,对患者发病的高危因素及治疗方法进行讨论。结果19例患者均诊断明确,10例抢救成功,9例死亡。对各种危险因素进行统计学分析,差异均有统计学意义(P<0.05)。结论高分级颅内动脉瘤并发ARDS病死率较高。预防高危因素的发生,早期诊断、早期治疗,早期精心护理以及正确使用呼吸机是其抢救成功的关键。

Objective To analyze the high risk factors of high grade intracranial aneurysm with acute respiratory distress syndrome(ARDS),and to take comprehensive care measures according to these risk factors.Methods A total of 19 high grade intracranial aneurysm with ARDS patient's data from our department in recent 5 years were retrospectively analyzed.The high risk factors of the disease and treatment were discussed.Results The 19 patients were diagnosed clearly and 10 cases were rescued successfully and 9 cases of death.Conclusion Mortality of high grade intracranial aneurysm complicated with ARDS is high.The keys to the success of the rescue are prevention of high risk factors,early diagnosis,early treatment,early care and using breathing machine correctly.