重症肺炎疑似急性呼吸窘迫综合征临床诊断及治疗

Clinical Diagnosis and Treatment of Severe Pneumonia Patients with Suspected Acute Respiratory Distress Syndrome

目的探析重症肺炎疑似急性呼吸窘迫综合征的临床诊断和治疗体会。方法随机选取该院2011年1月—2014年1月收治的重症肺炎疑似急性呼吸窘迫综合征的患者90例进行研究分析,在治疗原发病的同时为患者进行机械辅助通气、维持血容量、肾上腺皮质激素以及纠正电解质紊乱的治疗,降低患者并发症的发生几率,提高治疗的效果。结果经过及时的治疗,有70例患者病情得到控制,身体恢复正常,占总数的77.78%,20例患者死亡,死亡率为22.22%。结论重症肺炎疑似急性呼吸窘迫综合征患者病情危重,要尽早诊断,及时治疗,才能保证患者的生命质量,减少患者的死亡率。

Objective To analyze the clinical diagnosis and treatment of severe pneumonia patients with suspected acute respiratory distress syndrome. Methods 90 severe pneumonia patients with suspected acute respiratory distress syndrome admitted to the hospital from January 2011 and January 2014 were selected as the research object. They underwent assisted mechanical ventilation, maintaining blood volume, receiving adrenal cortex hormone, correction of electrolyte disorders on the basis of the management of primary diseases to reduce the complication and improve the treatment efficacy. Results After timely treatment, 70 patients obtained physical recovery after disease was controlled, accounting for 77.78%, and 20 patients died, accounting for 22.22%.Conclusion Because the disease is severe, timely diagnosis and treatment should be carried out for severe pneumonia patients with suspected acute respiratory distress syndrome to guarantee their life quality and reduce the mortality.