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为了解急性呼吸窘迫综合征(ARDS)病死率与各种因素的关系,分析了我院近年收治的13例ARDS患者。1 临床资料 我院1991～1997年间共13例ARDS患者。符合以下标准:①PaO_2/FiO_2≤200;②肺动脉楔入压(PAWP)≤18mmHg(1mmHg=0.133kPa),③胸片示双侧肺浸润性病变;④急性起病,具有引起ARDS的原发病。13例患者中男10例,女3例。年龄20～83岁,平均年龄为(49±20)岁。2 治疗方法 所有患者均予气管插管机械通气,呼吸机为Siemens-900c,Siemens-300,Drager。呼吸机工作模式分别为在压力控制,容量控制,SIMV基础上加PEEP。机械通气时患者与呼吸机不能同步,予肌松剂(Norcuron,Pavahne),镇静剂(Diprivan,valium,morphine)使人机同步。3例使用Slemens-900c的患者,通气过
In order to understand the relationship between acute respiratory distress syndrome (ARDS) mortality and various factors, 13 ARDS patients treated in our hospital in recent years were analyzed. 1 clinical data in our hospital from 1991 to 1997 a total of 13 cases of ARDS patients. Meet the following criteria: ①PaO_2 / FiO_2≤200; ②Wave PAWP≤18mmHg (1mmHg = 0.133kPa), ③ chest X-ray showed bilateral lung infiltrative lesions; ④ acute onset, with the primary disease causing ARDS . Thirteen patients, 10 males and 3 females. Age 20 to 83 years, mean age (49 ± 20) years. 2 treatment All patients were tracheal intubation mechanical ventilation, ventilator Siemens-900c, Siemens-300, Drager. Respirator working mode, respectively, in the pressure control, capacity control, SIMV plus PEEP. During mechanical ventilation, the patient can not be synchronized with the ventilator, and the human machine is synchronized with Norcuron (Pavahne) and sedative (Diprivan, valium, morphine). Three patients with Slemens-900c were ventilated