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目的:探讨急性呼吸窘迫综合征的特征、治疗及效果。方法:对我院近年来收治的20例急性呼吸窘迫综合征患者进行综合治疗,并进行汇总分析。结果:所有病例应用呼吸机机械通气时间平均3～21d。其中17例(占85%)经积极抢救治疗后症状逐渐缓解,根据血气分析、氧饱和度等指标及患者临床表现等随时调整呼吸机,逐步纠正低氧血症,直至撤离呼吸机。治疗期间3例(占15%)重型急性呼吸窘迫综合征因呼吸衰竭死亡。结论:急性呼吸窘迫综合征通过正确、及时、有效的综合治疗,可以在很大程度上改善病情,提高抢救成功率,降低死亡率。
Objective: To investigate the characteristics, treatment and effect of acute respiratory distress syndrome. Methods: Twenty cases of acute respiratory distress syndrome admitted to our hospital in recent years were comprehensively treated and analyzed. Results: Ventilator mechanical ventilation duration was 3 ~ 21 days on average in all cases. Among them, 17 cases (85%) were relieved after active rescue treatment. The ventilator was adjusted at any time according to blood gas analysis, oxygen saturation index and clinical manifestations of patients, and gradually corrected hypoxemia until evacuation of the ventilator. Three patients (15%) died of respiratory failure due to severe acute respiratory distress syndrome during the treatment period. Conclusion: Acute respiratory distress syndrome through correct, timely and effective comprehensive treatment, can greatly improve the condition, improve the success rate of rescue and reduce mortality.