目的探讨严重胸部创伤患者防治ARDS的措施。方法对本院自1999~2005年收治的159例严重胸部创伤病人的治疗方法和疗效进行分析。结果本组病人15例发生ARDS,ARDS的发生率为9.43%,其中10例康复,5例死亡,其中2例因严重肺部感染而死亡,3例因发生MODS死亡,死亡率占发生ARDS病例的33.3%,占总病例的3.14%。结论对严重胸部创伤病人积极预防并及时正确治疗可降低的ARDS发生率和死亡率。 Objective To investigate the prevention and treatment of ARDS in patients with severe chest trauma. Methods A total of 159 severe thoracic trauma patients treated in our hospital from 1999 to 2005 were analyzed. Results The incidence of ARDS was 9.43% in 15 patients in this group, of which 10 were recovered and 5 were dead, of which 2 died of severe pulmonary infection and 3 died of MODS, the mortality rate accounted for ARDS Of the 33.3%, accounting for 3.14% of the total cases. Conclusions Active prevention and timely and correct treatment of patients with severe thoracic trauma can reduce ARDS incidence and mortality.