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成人呼吸窘迫综合征(ARDS)有很高的死亡率(20～50%)。目前临床上主要采取预防和早期治疗方法。故需确定那些临床情况易于并发 ARDS。作者拟定下列8种普遍认为与发生 ARDS 有关的临床情况。(1)脓毒症综合征,指有严重的细菌感染及全身性反应,肛温39℃或以上,白细胞计数超过12,000/μl,杆状在20%以上,血细菌培养阳性收缩压低于80mmHg,以及代谢性酸中毒;(2)近期吸入胃内容物,表现为从气管导管内吸引出胃内容物,不论 pH 值为多少;(3)肺挫伤,系由于胸部钝性损伤所致,胸部 X线表现为局部浸润或有明显的胸壁损伤;(4)急症大
Adult respiratory distress syndrome (ARDS) has a high mortality rate (20-50%). At present, the main clinical prevention and early treatment methods. It is therefore necessary to determine which clinical conditions are complicated by ARDS. The authors drew up the following eight categories of clinics generally considered to be associated with ARDS. (1) Sepsis syndrome refers to severe bacterial infection and systemic reaction. The rectal temperature is 39 ℃ or above, the white blood cell count is more than 12,000 / μl, and the rod shape is above 20%. The blood culture positive systolic blood pressure is lower than 80mmHg, As well as metabolic acidosis; (2) recent inhalation of gastric contents, manifested as gastric contents from the tracheal tube, regardless of pH; (3) pulmonary contusion, due to blunt injury due to the chest X Line showed partial infiltration or obvious chest wall injury; (4) emergency