目的:探讨重症胸部创伤并发急性呼吸窘迫综合征的临床治疗体会。方法:回顾性分析本院近年来收治的68例重症胸部创伤并发急性呼吸窘迫综合征患者的临床资料。结果:68例重症胸部创伤并发急性呼吸窘迫综合征的患者,治愈53例,死亡15例,死亡率为22.06%。死亡原因:急性呼吸窘迫综合征9例,多器官功能衰竭3例,休克、大出血死亡3例。结论:对于重症胸部创伤并发急性呼吸窘迫综合征的患者,早期诊断和及时处理能明显降低病死率。治疗以尽早行机械通气为主并给予抗感染等综合治疗。 Objective: To explore the clinical treatment of severe chest trauma complicated with acute respiratory distress syndrome. Methods: The clinical data of 68 patients with severe chest trauma complicated with acute respiratory distress syndrome admitted in our hospital in recent years were retrospectively analyzed. Results: In 68 cases of severe chest trauma complicated with acute respiratory distress syndrome, 53 cases were cured and 15 cases died. The mortality rate was 22.06%. Causes of death: acute respiratory distress syndrome in 9 cases, multiple organ failure in 3 cases, shock, bleeding in 3 cases. CONCLUSIONS: Early diagnosis and timely treatment of patients with severe chest trauma complicated with acute respiratory distress syndrome can significantly reduce the mortality. Treatment as early as mechanical ventilation and give anti-infection and other comprehensive treatment.