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成人呼吸窘迫综合征(Adult Res—Piratory Distress Syndrome 简称 AR-DS)是一常见临床综合征.病情危重,进展迅速,治疗棘手,病死率高,但早期治疗效果颇好.我院几年来收治8例早期 ARDS病人,报道如下.一般材料8例均为1984年7月~1987年10月我院住院病人.年龄18~86岁,男性5例,女性3例.原发疾病中革兰氏阴性杆菌肺炎3例;败血症1例;产后感染1例,胆囊炎并腹膜炎1例.骨盆■性骨折■腹■并化■.诊断标准:1.用原发病无法解释的进行性呼吸窘迫,呼吸频率>35次/分.2.早期除紫绀外无其他体征,中、晚期肺部可闻罗音。
Adult Respiratory Distress Syndrome (AR-DS) is a common clinical syndrome. In critical condition, rapid progress, difficult to treat, high mortality, but the early treatment is quite good.Our hospital for several years to treat 8 Cases of early ARDS patients, reported as follows.General materials 8 cases were hospitalized in our hospital from July 1984 to October 1987. Aged 18 to 86 years old, 5 males and 3 females.The primary disease Gram-negative Bacteremia pneumonia in 3 cases, sepsis in 1 case, postpartum infection in 1 case, cholecystitis and peritonitis in 1 case, pelvic fractures, abdominal co-morbidity, diagnostic criteria: 1. With primary disease unexplained progressive respiratory distress, respiratory Frequency> 35 beats / min.2 Early except cyanosis and no other signs, in the lungs can hear rales.