17例重症急性呼吸窘迫综合征临床资料回顾性分析  

Retrospective analysis on 17 cases of severe acute respiratory distress syndrome

作　　者：宋鹏[1] 李琦[1] 王长征[1] 钱桂生[1] 

机构地区：[1]第三军医大学新桥医院呼吸内科研究所,重庆400037

出　　处：《中国呼吸与危重监护杂志》2006年第1期35-38,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的探讨重症急性呼吸窘迫综合征(ARDS)患者临床诊疗中的特点、转归及预后的一般关系,总结临床治疗过程中的经验教训,以提高治疗效果和抢救成功率。方法回顾性分析呼吸重症监护室重症ARDS患者17例的临床资料,对ARDS伴发全身多器官功能障碍(MODS)进行相关分析。结果17例重症ARDS患者中14例合并MODS,MODS发生率82.35%;14例重症ARDS合并MODS的患者中死亡12例,死亡率85.71%;17例重症ARDS患者共死亡13例,死亡率76.47%。结论目前对ARDS尚无特效疗法,在对重症ARDS患者施行保护性肺通气策略和综合治疗下,单纯因呼吸衰竭死亡的比例逐年下降,MODS已成为ARDS死亡的主要原因。对重症ARDS患者在对症治疗及机械通气的同时,加强对各脏器功能的保护,防止更多的器官系统出现功能衰竭,是提高ARDS救治成功率的关键。Objective To investigate the clinical feature, turnover and prognosis of severe acute respiratory distress syndrome（ARDS）, and summarize treatment experiences. Methods 17 cases of severe ARDS in respiratory intensive care unit was retrospectively analyzed. Correlation analysis was employed to determine the relationship of ARDS and multiorgan disfunction syndrom（MODS）. Results 14 of 17 cases with ARDS were complicated with MODS with an incidence of MODS of 82.35 %. The mortality in those with MODS was 85.71% （12/14） and in all subjects was 76.47% （13/17）. Conclusions While death due to simple respiratory failture is decreasing, multiorgan dysfunction syndrome has become the primary death cause in the patients with ARDS. Therefor, intensive monitoring and protection of organ function are critical to improve the outcome of ARDS.

关 键 词：急性呼吸窘迫综合征 全身多器官功能衰竭 回顾性分析 

分 类 号：R563.8[医药卫生—呼吸系统]