为减少高海拔地区急性呼吸窘迫综合征 (H- ARDS)的病死率 ,对收入 ICU的 2 5 2例创伤、感染、大手术患者进行了心电、呼吸、血气、生化连续动态监护。结果 :2 5 2例中有 2 8例分别于伤后 3～ 72 h(平均 19.6 h)发生了急性呼吸窘迫综合征 (ARDS)。除 1例死亡外 ,2 7例抢救成活。提示连续动态监护为 H- ARDS的早期诊断、治疗提供了可靠依据 ,从而减少了病死率。 In order to reduce the mortality of acute respiratory distress syndrome (H-ARDS) in high altitude areas, ECG, respiration, blood gas, and biochemical continuous dynamic monitoring were performed on 252 cases of trauma, infection and major surgery in ICU. RESULTS: Twenty-eight of the 52 cases developed acute respiratory distress syndrome (ARDS) at 3 to 72 hours (mean 19.6 hours) after injury. In addition to one death, 27 survived. Prompt continuous monitoring for the early diagnosis and treatment of H-ARDS provide a reliable basis, thus reducing the case fatality rate.