重症急性呼吸窘迫综合征34例临床资料回顾性分析-中华老年多器官.PDFVIP

中华老年多器官疾病杂志 2012 年6 月28 日 第 11 卷 第6 期 Chin J Mult Organ Dis Elderly, Vol.11, No.6, Jun 28, 2012 405 34 沈奕播, 刘双林, 李 琦* , 400037 ARDS 2009 1 ～2012 1 ARDS 34 24 h C- APACHE 21 d APACHE 34 ARDS , 28 , 6 , 18～98 , 54.0918.34, 24 70.6%; APACHE [23.424.59vs16.701.57, 4.833.60vs 2.880.85mmol/L, 3.022.87vs 1.200.73ng/L; P 0.05], [80.92 29.29vs 112.3024.49; P 0.05]; APACHE r = 0.531, r = 0.527; P 0.01 ARDS , ARDS ; ; ; ; R563 A DOI 10.3724/SP.J.1264.2012.00103 Severe acute respiratory distress syndrome: retrospective analysis of 34 cases * SHEN Yibo, LIU Shuanglin, LI Qi (Institute of Respiratory Diseases, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China) Abstract Objective To investigate the primary diseases, risk factors, therapy, prognosis and factors affecting prognosis of severe acute respiratory distress syndrome(ARDS). Methods Data of 34 patients with severe ARDS from January 2009 to January 2012 were retrospectively analyzed, including age, gender, history of chronic diseases, predisposing factors, vital signs within 24 h after diagnosis, laboratory tests (blood gas analysis, routine blood tests, renal function, electrolytes, procalcitonin, C-reactive protein, erythrocyte sedimentation, lactic acid, oxygenation index), acute physiology and chronic health evaluation (APACHE ) score, therapeutic methods, occurrence of multiple organ dysfunction (MODS) and mortality within 21d after final diagnosis. Above indicators