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机械通气治疗急性呼吸窘迫综合征的临床观察 被引量:2

Experience of Using Mechanical Ventilation in 32 Patients with Acute Respiratory Distress Syndrome
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摘要 目的探讨机械通气治疗急性呼吸窘迫综合征(ARDS)的疗效。方法对32例急性呼吸窘迫综合征的患者进行回顾性研究,分析其血气、PaO2/FiO2等与诊断及治疗的关系。结果对32例急性呼吸窘迫综合征的患者应用机械通气治疗,有效率71.88%,大部分患者于机械通气治疗4~7天后病情好转或缓解,9例死亡,死亡率为28.12%,死亡原因为肾功能衰竭、严重左心衰竭和多器官功能衰竭。结论急性呼吸窘迫综合征一旦发生,应在严密监测情况下及早给以机械通气。 Objective To find out the effects of using mechanical ventilation in adult patients with acute respiratory distress syndrome(ARDS).Method We study retrospectively the 32 patients with acute respiratory distress syndrome treated with mechanical ventilation; and analyze their relation between arterial blood gas, PaO2/FiO2 and diagnosis, treatment. Result The effective rate of mechanical ventilation was 71.88%,most patients condition improved after 4-7 days. 9 patients die from renal failure, serious left heart failure and multiple organ failure(MOF). Conclusion Once the acute respiratory distress syndrome happened, we should use mechanical ventilation as soon as possible under the exact monitoring.
出处 《国际医药卫生导报》 2005年第16期20-22,共3页 International Medicine and Health Guidance News
关键词 机械通气 治疗方法 急性呼吸窘迫综合征 血气分析 多器官功能衰竭 mechanical ventilation treatment acute respiratory distress syndrome(ARDS)
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  • 1施毅,宋勇主编..现代呼吸系统急诊医学[M].北京:人民军医出版社,1998:381.
  • 2[3]Myers JC, Vento JM, Carey LC, et al. The effect of positive end-expiratory on extravascular lung water in porcine acute respiratory failure(ARF).Anesthesiology, 1985, 63 (4): A133 被引量:1
  • 3[5]Mancebo J. PEEP, ARDS and alveolar recruitment. Intensive Care Med, 1992, 18(5): 383 被引量:1

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