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报告12例成人呼吸窘迫综合征(ARDS)的临床资料。本组病例共治愈4例,死亡8例,病死率为66.7%。死亡的病例均有多系统器官衰竭(MSOF),仅有1例MSOF经抢救获愈。在ARDS发生前12—24h测定外用血多形核白细胞(PMN),发现死亡组病例的PMN为17.31×109±4.77/L,显著高于治愈组8.81×109±2.35/L(P<0.01)。提示PMN对脏器的损伤作用可能是ARDS发生、发展、启动MSOF和最终导致死亡的基本和关键的环节之一。作者认为,ARDS可以是一个独立的综合征,但常是MSOF的衰竭器官之一,后者的预后则更差。
Reported 12 cases of adult respiratory distress syndrome (ARDS) clinical data. This group of patients were cured in 4 cases, 8 died, the case fatality rate was 66.7%. All cases of death had multiple system organ failure (MSOF), and only 1 case of MSOF was rescued. Peripheral blood polymorphonuclear leukocytes (PMN) were measured at 12-24h before ARDS. The PMN of death group was 17.31 × 109 ± 4.77 / L, which was significantly higher than that of the cured group (8.81 × 109 ± 2.35 / L) P <0.01). It is suggested that the damage of PMN to organ may be one of the basic and key steps of ARDS in developing, initiating MSOF and eventually leading to death. The authors argue that ARDS can be an isolated syndrome but is often one of MSOF’s failing organs, the latter with a worse prognosis.