急性呼吸窘迫综合征18例临床分析  

Clinical analysis on 18 cases of acute respiratory distress syndrome

作　　者：李忠[1] 

机构地区：[1]辽宁省鞍山市铁西医院重症监护病房,辽宁鞍山114000

出　　处：《中国医药导报》2009年第12期159-160,共2页China Medical Herald

摘　　要：目的:探讨急性呼吸窘迫综合征(ARDS)的诊断和治疗。方法:对18例ARDS患者的临床资料进行回顾性分析。结果:18例患者死亡10例,死亡率为50.6%。结论:多种危重病都有可能发生ARDS。监测患者的呼吸频率(RR)、经皮血氧饱和度(SpO2)、动脉血气分析(SaO2、PaO2)和PaO2/FiO2有利于ARDS的早期诊断。ARDS的治疗应以机械通气为主,实施保护性肺通气策略,兼顾其他支持治疗。Objective：To explore the diagnosis and treatment of acute respiratory distress syndrome（ARDS）.Methods：The clinical data of 18 patients with ARDS were retrospecitively analyzed.Results：Of 18 patients with ARDS, 10 cases died from multiple organ dysfunction syndrome（MODS）, the mortality rate was 55.6%.Conclusions：Many types of critical illness may evolve ARDS, it is beneficial to early diagnose the disease with timely monitoring the measures of the respiratory rate of SpO2, SaO2, PaO2 and PaO2/FiO2.The mechanical ventilation is the main treatment method for ARDS, proper treatment methods also include implementation of lung protective ventilation strategies and other supportive therepies.

关 键 词：急性呼吸窘迫综合征 诊断 治疗 

分 类 号：R56[医药卫生—呼吸系统]