摘要
目的 探讨灌注后肺综合征的诊断、发病机理和治疗原则。方法 对 16例体外循环后急性进行性呼吸困难和难以纠正的低氧血症及时作出诊断。给予呼吸机辅助机械通气 ,降低肺毛压和肺水含量和维护心功能等治疗措施。结果 1例合并严重的肾功能衰竭而死亡。其余 15例均痊愈出院。远期随访均无肺损伤后遗症。
Objective To study the early diagnosis,principle and treatment of acute respiratory distress syndrome(ARDS,postperfusion lung syndrome)after cardiopulmonary bypass(CPB).Methods Sixteen patients with postperfusion lung syndrpme was made early diagnosis and underwent mechanical ventilation.Meanwhile,they were treated with methods of reducing hugely pulmonary capillary wedge pressure(PCWP)and extravessel lung water(EVLW).Results With ARDS combined severe renal failure ,one patient died.The hospital mortality rate was 6.25%.The others recovered and in long period following up there are no sequelae of lung injury.Conclusion As early as diagnosis and ventilatory strategies and reducing PCWP and EVLW are the keys to curing acute respiratory distress syndrome.
出处
《兰州医学院学报》
2000年第1期28-30,共3页
Journal of Lanzhou Medical College
关键词
急性呼吸困难综合征
体外循环
诊断
治疗
Acute respiratory distress syndrome Extracorporeal circulation Diagnosis Ventilatory strategies
