慢阻肺(COPD)并发成人呼吸窘迫综合征(ARDS)报道很少。因早期临床表现不典型,病情较创伤性休克并发 ARDS 相对缓和,常易被原发病所掩盖而贻误治疗时机,病死率高。本文就其临床表现特点,动脉血气分析异常和 X 线征象的动态改变,分析误诊误治的教训。 Chronic obstructive pulmonary disease (COPD) complicated with adult respiratory distress syndrome (ARDS) reported very little. Due to the early clinical manifestations of atypical disease than traumatic shock complicated by ARDS relative ease, often easily covered by the primary disease and delay the timing of treatment, high mortality. In this paper, its clinical manifestations, arterial blood gas analysis of abnormalities and X-ray signs of dynamic changes, misdiagnosis and misdiagnosis of the lesson.