【摘要】 目的:探讨急性呼吸窘迫综合征(ARDS)伴多器官功能不全综合征(MODS)的临床特点。方法:将18例ARDS伴MODS患者与10例单纯ARDS患者的临床资料进行回顾性分析。结果:本组ARDS的常见病因有败血症、肺挫伤或腹部手术、休克、肺部感染等,大部分为多因素;ARDS伴MODS组的死亡率为55.5％,高于单纯ARDS组的死亡率30％;ARDS伴MODS组的动静脉分流量为32.4％±10.3％,显著高于单纯ARDS组的13.1％±7.8％。结论:ARDS与MODS关系十分密切,MODS发生的速度和受累器官的数目,对ARDS的预后影响大。更多还原

【Abstract】 Objective: To analyze the clinic features of Acute Respiratory Distress Syndrome(ARDS) accompanied with Multiple Organ Dysfunction Syndrome(MODS). Method:We retrospectively analysed the clinical features of 18 patients with ARDS accompanied MODS, in comparison with 10 cases ARDS without MODS. Results: ARDS was mostly by multiple factors such as sepsis, lung contusion, abdomen operation, shock and lung infection. The mortality of patients with ARDS accompanied MODS was higher than that of patients with ARDS, so was the index of diffluence between the arteries and veins in lung. Conclusion: There are close relationship between the occurrence of ARDS and MODS. The prognosis of ARDS was determined by the progression and the number of organs that failed.更多还原