摘要
目的分析急性呼吸窘迫综合征患者肺内和肺外源性因素。方法回顾性分析60例ARDS(急性呼吸窘迫综合征)患者临床资料。结果ARDSp(由肺部原因引起的急性呼吸窘迫综合征)患者19例,ARDSexp(由肺外原因引起的急性呼吸窘迫综合征)患者41例;ARDSexp组氧合指数要比ARDSp组高,差异具有统计学意义(P<0.05);ARDSp组患者主要为肺炎14例,ARDSexp组患者肺外原因主要为急性重症胰腺炎12例;ARDSp组的肺损伤评分、APACHE II评分要比ARDSexp组高,差异具有统计学意义(P<0.05);ARDSp组死亡10例,ARDSexp组死亡19例,差异不具有统计学意义。结论对急性呼吸窘迫综合征患者肺内和肺外源性因素分析发现,虽然ARDSexp的患病率较高,但是病情程度较轻,死亡率要比ARDSp组低。
Objective To analyze patients with acute respiratory distress syndrome in the lung and lung exogenous factors.Methods A retrospective analysis of 60 patients with ARDS （acute respiratory distress syndrome） clinical data.Results ARDSp （by the lungs causes of acute respiratory distress syndrome） patients （19 cases）, ARDSexp （by extrapulmonary causes of acute respiratory distress syndrome） 41 patients with; ARDSexp high oxygenation index than ARDSp groups, statistically signiifcant difference （P〈0.05）; ARDSp patients mainly for 14 cases of pneumonia, ARDSexp patients extrapulmonary reason mainly for 12 cases of severe acute pancreatitis; ARDSp group of lung injury score, APACHE II score higher than ARDSexp group, difference has statistical signiifcance （P〈0.05）; ARDSp group of 10 cases of death, death ARDSexp group 19 cases, no statistically signiifcant difference.Conclusion The lungs in patients with acute respiratory distress syndrome and pulmonary exogenous factor analysis found that although the prevalence of ARDSexp is higher, but the disease to a lesser degree, lower mortality than ARDSp group.
出处
《当代医学》
2014年第24期75-76,共2页
Contemporary Medicine
