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目的探讨重型颅脑损伤后急性呼吸窘迫综合征(ARDS)中的诊断与治疗。方法对36例重型颅脑损伤后急性呼吸窘迫综合征(ARDS)的患者临床资料进行回顾分析对重型颅脑损伤后ARDS的发病原因、诊断标准、预防方法进行讨论。结果 25例平稳过渡急性期,8例因脑干功能衰竭死亡,3例并发多器官功能衰竭死亡。结论对急性重型颅脑损伤后ARDS需有预见,预防是重点,及早诊断和及早使用呼吸机治疗是抢救成功的关键。
Objective To investigate the diagnosis and treatment of acute respiratory distress syndrome (ARDS) after severe craniocerebral injury. Methods The clinical data of 36 patients with acute respiratory distress syndrome (ARDS) after severe craniocerebral injury were retrospectively analyzed. The pathogenesis, diagnostic criteria and prevention methods of ARDS after severe craniocerebral injury were discussed. Results 25 cases of acute transitional smooth transition, 8 died of brain stem failure, 3 patients died of multiple organ failure. Conclusion ARDS should be foreseen after acute severe craniocerebral injury, and prevention is the key point. Early diagnosis and early use of ventilator therapy are the keys to successful treatment.