重症监护病房中急性呼吸窘迫综合征的预后危险因素

Prognostic Risk Factors of Acute Respiratory Distress Syndrome in the Intensive Care Unit

目的总结重症监护病房中急性呼吸窘迫综合征的预后危险因素。方法该研究随机选择该院重症监护病房2012年6月—2015年6月并予以救治的60例急性呼吸窘迫综合征病患,通过观察其预后危险因素,探讨防治措施。结果所选60例急性呼吸窘迫综合征病患当中,有36例(60.00%)死亡病患,其中,28例病患死于肺外源性因素,8例病患死于肺源性因素。急性呼吸窘迫综合征病患死亡诱因很多,其中主要因素为心功能衰竭25.00%和脓毒性休克33.33%,由于呼吸衰竭而引起的死亡患者并不多,仅13.89%。结论基于重症监护病房中急性呼吸窘迫综合征病患而言,必须预防心脏衰竭以及感染性休克等情况的出现,有助于降低死亡率、提升病患预后效果,可推广。

Objective To summarize the prognostic risk factors of acute respiratory distress syndrome in the intensive care unit. Methods 60 patients with acute respiratory distress syndrome treated in the ICU in this hospital between June 2012 and June 2015 were randomly selected by the author to observe prognostic risk factors and discuss the preventive measures.Results Out of the 60 included patients with acute respiratory distress syndrome, a total of 36(60.00%) died with 28 dying of extra-pulmonary factors and 8 dying of-pulmonary factors. There were many inducing factors for patients who died of acute respiratory distress syndrome, mainly including heart failure accounting for 25.00% and septic shock accounting for33.33%, and only 13.89% patients died of respiratory failure which was much less than the two above. Conclusion For patients with acute respiratory distress syndrome in the intensive care unit, prevention of heart failure and septic shock is conducive to reducing mortality and improving prognosis, therefore this method can be extended.