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目的:评判兰州会议制定的高海拔地区急性呼吸窘迫综合征(H-ARDS)诊断标准。方法:调查西宁地区(海拔2261m)符合平原地区ARDS诊断标准的71例胸外伤及以胸部损伤为主的多发伤,按机械通气与否分为两组,与平原标准与兰州标准进行对比,并将机械通气组的血气指标与兰州及上海同类报道进行对比。结果:无机械通气组血气指标达到平原标准,机械通气组的血气指标与H-ARDS诊断标准相近。结论:海拔2002m~2500mH-ARDS诊断标准基本适合于西宁地区该类病人的诊断。
Objective: To evaluate the diagnostic criteria of acute respiratory distress syndrome (H-ARDS) developed by Lanzhou Conference in high altitude area. Methods: Thirty-one cases of thoracic trauma and thoracic injury-predominant multiple injuries in Xining area (2261m above sea level) in line with the ARDS diagnostic criteria of plains were investigated. They were divided into two groups according to mechanical ventilation or not, compared with plain standard and Lanzhou standard The mechanical ventilation group of blood gas indicators and Lanzhou and Shanghai compared to similar reports. Results: The blood gas index in the group without mechanical ventilation reached the standard of plain. The blood gas index in the mechanical ventilation group was similar to that of H-ARDS. Conclusion: The diagnostic criteria of altitude from 2002m to 2500mH-ARDS are suitable for the diagnosis of such patients in Xining area.