摘要
目的 总结急性呼吸窘迫综合征 (ARDS)患者的临床特点及诊断中存在的问题 ,探讨现行诊断标准的实用性。方法 对重症监护病房 (ICU)收治的 4 5例ARDS患者进行回顾性分析。结果 导致ARDS的高危因素以外科性全身感染、重症肺炎、重症胰腺炎居多。部分患者有慢性心肺疾患史。 77 5 %的患者符合全身炎症反应综合征 (SIRS)标准 ,所有患者在常规吸氧时低氧血症均不能纠正。多器官功能障碍发生率为 4 6 7% ,最易受累的脏器依次为肺、肝、肾。仅 8例患者作胸部X线检查 ,无一例监测肺毛细血管楔压 (PCWP)。未常规监测、计算氧合指数。结论 临床医生对ARDS诊断标准的理解和掌握尚有一定差距 。
Objective To investigate the clinical manifestation of acute respiratory distress syndrome (ARDS),analyse the practicality of current diagnosis criterion.Methods A retrospective study on the subjects diagnosed as ARDS in intensive care unit (ICU).Results The preliminary risk factors contributing to ARDS included serious systemic infection caused by surgical disorders (sepsis),severe pneumonia,and severe pancreatitis. SIRS occurred in 77.5% subjects and multiple organ dysfunction syndrome (MODS) occurred in 46.7% subjects.Chest X-ray films were taken only in 8 subjects,while oxygenation index was not monitoring and used routinely. Conclusion It is critical for physician to understand and practice ARDS diagnosis criterion,otherwise,the rationality and feasibility of current criterion need further investigation.
出处
《中国呼吸与危重监护杂志》
CAS
2004年第3期160-162,共3页
Chinese Journal of Respiratory and Critical Care Medicine
