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目的:探讨急性呼吸窘迫综合征(ARDS)的治疗体会。方法:15例ARDS患者予积极治疗基础疾病,及时行机械通气,适当补液,加强抗感染,营养代谢支持,维持水电解质酸碱平衡,支持重要脏器功能等综合治疗。结果:15例ARDs患者中11例病情迅速控制或好转,有效率73.8％(11/15),4例死亡26.7％(4/15)。结论:ARDS目前尚无特异的治疗手段,应积极治疗原发病,及早采取机械通气为主的综合治疗,可以提高抢救成功率。
Objective: To explore the treatment of acute respiratory distress syndrome (ARDS). Methods: Fifteen patients with ARDS were given active treatment of underlying diseases, timely mechanical ventilation, appropriate fluid replacement, enhanced anti-infective, nutritional and metabolic support, maintained acid-base balance of water and electrolyte, and supported the comprehensive treatment of vital organs. Results: Among the 15 patients with ARDs, 11 patients were rapidly controlled or improved. The effective rate was 73.8% (11/15) and 4 patients died of 26.7% (4/15). Conclusion: There is no specific treatment for ARDS. Active treatment of the primary disease and early comprehensive treatment with mechanical ventilation should improve the success rate of rescue.