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严重烧伤并发急性呼吸窘迫综合征的临床报告

Clinical Report on Severe Burns Complicated by Acute Respiratory Distress Syndrome

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【作者】 陈侠英王少根王永杰

【Author】 Chert Xiaying, et al. (Dept of Burns, the 1 st Affliated Hopitul of Arthui Medical Uniwrsity, Hefei city230022)

【机构】 安徽医科大学附属医院!230022

【摘要】 急性呼吸窘迫综合征(ARDS)是严重烧伤病人的一种并发症,它发生于休克复苏过程或继发感染、手术打击等情况后。作者自1994~1997年共治疗6例(ARDS)病人,都伴有休克。有的病人还并发肺炎、肺水肿、吸入性损伤、败血症、脓毒症等。作者认为,烧伤面积超过30%、休克、感染及吸入性损伤都是发生ARDS的危险因素。治疗原则包括早期诊断,及时吸氧、保持呼吸道通畅;控制感染、消除肺间质水肿;解除肺脏血管痉挛,改善肺脏微循环功能等。全组治愈5例,好转1例。

【Abstract】 The treatment experience of six severely burned patients complicated by acute respi-ratory distress syndrome (ARDS) during 1994 to 1997 was reported. The incidence of ANDS was re-lated to severe burns accompanied with shock, severe infection and inhalation injury. The diagnosis ofARDS during the early stage was put forward and the efficacy of the treatment was always good whencomprehensive measures were adopted timely.

【关键词】 烧伤ARDS
【Key words】 severe burns acute respiratory distress sgndrome(ARDS)
  • 【文献出处】 中国烧伤创疡杂志 ,THE CHINESE JOURNAL OF BURNS WOUNDS & SURFACE ULCERS , 编辑部邮箱 ,1999年01期
  • 【分类号】R644
  • 【被引频次】1
  • 【下载频次】20
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