急性呼吸窘迫综合征24例临床分析

Clinic Study of Acute Respiratory Distress Syndrome (a Report of 24 cases)

目的:探讨急性呼吸窘迫综合征(ARDS)的临床治疗。方法:回顾性分析24例ARDS的临床治疗。结果:24例ARDS采用呼吸末正压机械通气(PEEP)治疗,有效率为70.83％,其中6例加用连续性静脉-静脉血液滤过(CVVH)治疗,疗效更佳;7例死于多器官功能不全综合征(MODS),死亡率为29.17％。结论:机械通气治疗ARDS时动态监测动脉血气指标和呼吸指数(RI),选择适宜的PEEP值,在综合治疗基础上加用CVVH,疗效更好。

Objective: To Study the clinic treatment of Acute Respiratory Distress Syndrome(ARDS). Methods: To review the clinical treatment of 24 patients with ARDS retrospectively. Results: The effective rate was 70. 83% in all 24 cases after mechanical ventilation with positive end - expiratory pressure (PEEP) treatment. Better result engendered in 6 cases after treated with continuous vena -venous hemofiltration (CVVH) under mechanical ventilation. 7 cases died from multiple organ dysfunction syndrome(MODS).The mortality rate was 29. 17% . Conclusion: Arterial blood gas index and respiration index (RI) supervised dynamically and feasible PEEP value selected and treated with colligation therapy plus CVVH may result in better effects for ARDS.