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急性脊髓损伤患者围急性呼吸窘迫综合征的临床特点

Clinical feature of the perioperative ARDS in the patients with the acute spinal cord injury

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【作者】 郑联合王育才孙宏慧廖博尚保生

【Author】 ZHENG Lian-he,WANG Yu-cai,SUN Hong-hui, et al. Department of Orthopedic Surgery, Tang Du Hospital, the Fourth Military Medical University, Xi’an 710038,China

【机构】 中国人民解放军第四军医大学唐都医院骨科中国西电集团医院外三科 陕西西安710038陕西西安710038710077

【摘要】 目的 提高对急性脊髓损伤患者围急性呼吸窘迫综合征 (ARDS)的认识 ,探讨其临床特点。方法 分析 4 5例围ARDS的临床资料 ,患者至少符合PaO2 <6 0mmHg或氧合指数PaO2 /FiO2 <30 0mmHg。结果  4 5例急性脊髓损伤患者围ARDS临床特点 :发病急骤、潜伏期 3~ 14d ,进行性呼吸困难 ,死亡 10例 ,抢救成功率为 77.78% ,死亡率 2 2 .2 2 %。结论 熟悉ARDS的临床特点 ,严密监测其临床体征 ,早期预防 ,是救治ARDS的关键。

【Abstract】 Objective To study the significance of the occurrence and the development of ARDS among the patients of acute cervical spinal cord injury, and to know its clinical feature. Method The clinical data of 45 patients with ARDS were analyzed,and the patients at least met PaO2< 60 mmHg or PaO2/FiO2<300 mmHg. Results The perioperative ARDS of these patients had regular clinical feature. The success rate was about 77.78%, and the mortality rate was 22.22%. Conclusion To know the clinical feature of ARDS was very important, the precaution was also important, and the clinical process of ARDS shoud be supervised closely.

  • 【文献出处】 中国急救医学 ,Chinese Journal of Critical Care Medicine , 编辑部邮箱 ,2003年07期
  • 【分类号】R651.2
  • 【被引频次】4
  • 【下载频次】67
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