腹部术后并发ARDS临床研究

CLINICAL RESEARCH ON ARDS AFTER ABDOMINAL OPERATION

目的 :探讨腹部术后并发症ARDS的早期诊断及治疗。方法 :对 1993年～ 2 0 0 2年的 2 2例术后并发ARDS的诊治进行回顾性分析。结果 :2 2例中 12例好转 ,7例死亡 ,3例自行出院。结论 :PaCO2 呈渐进性下降对本病诊断十分重要 ,急诊床边胸片亦有一定价值 ,呼吸支持原发病治疗 ,预防性治疗在本病的治疗中具有很重要的意义。

Objective:To discuss the early diagnosis and treatment of ADRS in patients after abdominal operation.Methods:We analysed 22 cases of postoperative ARDS retrospectively from 1993to 2003.Results:Of 22 patients, 12 cases recoved, 7 cases died, and 3 cases left themselves.Conclusions:The following-down index of PaCO 2 is very helpful in diagnosis as well as chest X-rays. Breathing supportion, primary disease's therapy and preventive therapy play an important role in the early diagnosis and treatment of this kind of disease.