烧伤并发呼吸窘迫综合征20例临床分析

【关键词】  ,呼吸窘迫综合征

    摘要：目的：探讨严重烧伤并发急性呼吸窘迫综合征（acute respiratory distress syndrome，ARDS）发生的原因以及对其的诊断、治疗、预后作出分析和评价。方法：对20例患者进行积极抗休克、抗感染、高营养、高能量、早期切痂植皮、早期气管切开加高频通气等综合处理。结果：吸入性损伤加上顽固性休克是导致呼吸窘迫综合征的重要原因。结论：早期对吸入性损伤的处理、早期纠正低氧血症以及预防休克是预防和治疗呼吸窘迫综合征的主要手段。

　　关键词：  烧伤；  呼吸窘迫综合征；  诊断；  治疗

　　Clinical Analysis of 20 Patients with Burns Concurrent Respiratory Distress Syndrome

　　Abstract：Objective：To investigate the reason which the serious burns concurrent acute respiratory distress syndrome occurs and its diagnosis, therapy, pre- after makes analyzes and appraises. Method：Carries on the positive anti- shock, the anti- infection to 20 examples patients, the high nutrition, the high energy, the early time cuts the scab skin grafting, the early tracheotomy adds high frequency ventilates and so on synthesis processing. Result：Aspiration injuries adds on the Intractable shock is causes the important reason which the respiratory distress syndrome. Conclusion：The early time to Aspiration injuries processing, the early time corrects the low oxygen blood sickness as well as the prevention shock is the main method which the prevention and therapy respiratory distress syndrome.

　　Key words：  Burns；  Respiratory distress syndrome；  Diagnosis；  Therapy

　　严重烧伤(特别是有吸入性损伤)者肺功能均有不同程度的变化。急性呼吸窘迫综合征（acute respiratory distress syndrome，ARDS）是以急性呼吸窘迫和低氧血症为主要表现的急性呼吸衰竭类型，是烧伤后危及生命的严重并发症，它多发生于严重烧伤的复苏过程或休克期后继感染、手术等打击后，发病率在11.8%～17%不等［1，2］。一旦发生，则发病急、进展快，如诊断和处理不当或不及时，常会失去抢救时

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