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目的探讨重症监护治疗病房(ICU)内急性呼吸窘迫综合征(ARDS)患者的治疗方法。方法对开封市第二人民医院ICU 2005-11-2010-03所收治的58例ARDS患者在治疗原发病的基础上,根据病情适当选用NIPPV及有创通气的方法,并适当限制液体入量的治疗原则,改善患者的愈合,降低死亡率。结果 58例患者中,存活39例(67.2%),死亡12例(20.7%),因经济原因放弃治疗7例(12.1%)。结论 ARDS患者应早期使用机械通气治疗,及时治疗原发病,严格控制液体入量,减轻肺水肿,应用肾上腺皮质激素、营养支持、控制感染等治疗,提高治愈率,降低死亡率。
Objective To investigate the treatment of patients with acute respiratory distress syndrome (ARDS) in intensive care unit (ICU). Methods 58 cases of ARDS patients admitted to the ICU of People’s Hospital of Kaifeng Second People’s Hospital from November 2005 to November 2010 were treated with NIPPV and invasive ventilation on the basis of the primary treatment and appropriate restriction of fluid intake Therapeutic principles to improve patient healing and reduce mortality. Results Of the 58 patients, 39 (67.2%) survived and 12 (20.7%) died. Seven patients (12.1%) were given up for economic reasons. Conclusion ARDS patients should be treated with mechanical ventilation in the early stage, treat the primary disease in time, strictly control fluid intake, reduce pulmonary edema, apply adrenal cortex hormones, nutritional support and infection control to improve the cure rate and reduce the mortality rate.