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腹部外科手术后并发成人呼吸窘迫综合征的研讨:附18例报告
引用本文:陈丽莉 王德昭. 腹部外科手术后并发成人呼吸窘迫综合征的研讨:附18例报告[J]. 上海医学, 1992, 15(3): 140-143
作者姓名:陈丽莉 王德昭
作者单位:上海医科大学附属华山医院外科教研室,上海医科大学附属华山医院外科教研室,上海医科大学附属华山医院外科教研室,上海医科大学附属华山医院外科教研室
摘    要:

关 键 词:成人 呼吸窘迫 综合征 手术

ADULT RESPIRATORY DISTRESS SYNDROME AFTER ABDOMINAL OPERATIONS: AN ANALYSIS OF 18 CASES
Chen Li-li,et al.. ADULT RESPIRATORY DISTRESS SYNDROME AFTER ABDOMINAL OPERATIONS: AN ANALYSIS OF 18 CASES[J]. Shanghai Medical Journal, 1992, 15(3): 140-143
Authors:Chen Li-li  et al.
Affiliation:Chen Li-li,et al. Department of Surgery,Huashan Hospital,Shanghai Medical University,Shanghai 200040
Abstract:Of 2521 cases of abdominal operations from Sept 1986 to June 1990, 18 (0.71%) were complicated with ARDS which yielded a mortality of 83.3%. In the 18 cases, 9 had operation due to infection of biliary-pancreas system, 6 had a history of chronic bronchitis and 6 had pneumonia. To analyse the cause of the high mortality, we found that ARDS was often diagnosed during its late stage. Therefore when respiration is over 30. times per minute, PaO_2 lower than 8.0 kPa even after nostril oxygen therapy, ventilator and PEEP should be used within 24 hours.
Keywords:ARDS  Abdominal operation
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