摘要
开胸手术后并发急性呼吸窘迫综合征(ARDS)是一种严重的并发症,病死率高,已日益引起临床工作者的重视。开胸手术患者的心肺功能较其他手术患者差,发生ARDS的可能性较大,手术治疗及手术损伤、大量输血、呼吸道感染、不恰当的补液及通气方式等因素均可能导致术后ARDS的发生。机械通气是治疗ARDS的重要措施,但只有肺保护通气策略是惟一被证实能改善预后的治疗方式。目前,重视和加强胸外科围手术期管理,减少手术创伤,积极预防ARDS的发生仍是降低开胸手术后死亡率的重要措施,因此,对胸外科手术后影响ARDS发生的高危因素及预防、治疗进行综述。
Clinical scientists have paid more and more attention to the acute respiratory distress syndrome （ARDS）, a severe complication after thoracotomy, for its high mortality rate. Compared with other surgical patients, patients who received thoracotomy often have a worse cardio-pulmonary function and are prone to suffering from ARDS. Surgical treatment or injury, massive blood transfusion, respiratory tract infection, improper fluid replacement and ventilation are probable reasons to cause ARDS. Mechanical ventilation is an important treatment for ARDS, but ventilation with lung-protective strategies was proved to be the only therapy which can improve the prognosis of patients with ARDS. At present, thinking highly of and promoting the perioperative management, lessening surgical injury and active prevention are still very important measures to reduce the mortality after thoracotomy. This article is aimed to review the high risk factors of ARDS after thoracotomy as well as its treatment.
出处
《中国胸心血管外科临床杂志》
CAS
2010年第1期55-59,共5页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
