急性呼吸窘迫综合征24例临床分析

目的：探讨急性呼吸窘迫综合征(ARDS)的临床治疗。方法：回顾性分析24例ARDS的临床治疗。结果：24例ARDS采用呼吸末正压机械通气(PEEP)治疗，有效率为70．83％，其中6例加用连续性静脉-静脉血液滤过(CVVH)治疗，疗效更佳；7例死于多器官功能不全综合征(MODS)，死亡率为29．17％。结论：机械通气治疗ARDS时动态监测动脉血气指标和呼吸指数(RI)，选择适宜的PEEP值，在综合治疗基础上加用CVVH，疗效更好。

Clinic Study of Acute Respiratory Distress Syndrome (a Report of 24 cases)

Objective: To Study the clinic treatment of Acute Respiratory Distress Syndrome(ARDS). Methods: To review the clinical treatment of 24 patients with ARDS retrospectively. Results: The effective rate was 70. 83% in all 24 cases after mechanical ventilation with positive end - expiratory pressure (PEEP) treatment. Better result engendered in 6 cases after treated with continuous vena -venous hemofiltration (CVVH) under mechanical ventilation. 7 cases died from multiple organ dysfunction syndrome(MODS).The mortality rate was 29. 17% . Conclusion: Arterial blood gas index and respiration index (RI) supervised dynamically and feasible PEEP value selected and treated with colligation therapy plus CVVH may result in better effects for ARDS.