食管癌术后急性呼吸窘迫综合征的防治

目的 :总结 3 7例食管癌术后呼吸窘迫综合征 (ARDS)的防治经验。方法 :回顾性分析我院 7年间 3 7例食管癌术后ARDS临床特点 ,评价其治疗效果 ,探讨ARDS治疗的新途径。结果 :全组死亡率为 2 9.7% ,早期治疗成功率为 61% ,近期成功率可达 79%。结论 :对合并有慢性阻塞性肺疾病 (COPD)患者 ,严格的术前评价有助于降低ARDS发生率 ,及早发现和及时处理是ARDS治疗成功的关键 ,除去除病因和维持重要脏器功能外 ,以控制全身炎症反应综合征 /代偿性抗炎反应综合征为主线 ,积极干预 ,可提高治疗成功率。

Prevention and treatment of acute respiratory distress syndrome after esophageal carcinoma resectomy

Objective To introduce our prevention and cure experience from 37 cases of acute respiratory distress syndrome(ARDS)after esophageal carcinoma resectomy.Methods The data of 37 cases of ARDS were analyzed retrospectively to evaluate the curative effect of our new combined method.Results The mortality of acute respiratory distress syndrome after operation was 29.7% in average,the survival rate in early period(61%) was lower than that of late period(79%).Conclusions Strictive body examination before operation and correct judgement of chronic obstructive pulmonary disease(COPD) can decrease the incidence rate of ARDS,special attention should be paid to patients with COPD.The key to cure ARDS is early diagnosis and in time treatment.SIRS/CARS should be considered as main clue to deal with ARDS besides keeping organ functional and pathogenic treatment.