《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (06): 477-478.

• 临床研究 • 上一篇    下一篇

外科危重患者ARDS预后危险因素探讨

谢菲; 马迎民; 宋青; 江朝光   

  1. 解放军总医院外科监护科 北京市 100853
  • 收稿日期:2005-04-21 出版日期:2005-06-25 发布日期:2005-06-25

Risk factors influencing the prognosis of critical ill patients with ARDS

XIE Fei, MA Ying-min, SONG Qing, et al   

  1. The Department of SICU, The General Hospital of PLA, Beijing 100853, China
  • Received:2005-04-21 Published:2005-06-25 Online:2005-06-25

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摘要： 目的探讨影响外科危重患者急性呼吸窘迫综合征(ARDS)预后的危险因素。方法回顾性分析2003～2004年67例ARDS患者的急性生理和慢性健康评分(APACHEⅡ)、年龄、开始进行呼吸支持治疗的时机。结果死亡组的APACHEⅡ评分、年龄与存活组有显著性差异(P<0.05)。早期进行呼吸支持的ARDS患者存活率较晚期高(P<0.05)。结论年龄、APACHEⅡ评分、呼吸支持治疗的时机是影响外科危重患者ARDS预后的主要因素。

关键词: 外科, 急性呼吸窘迫综合征, 危险因素

Abstract: ObjectiveTo observe the risk factors influencing the prognosis of critical ill patients with acute respiratory distress syndrome (ARDS).MethodsThe clinical data of 67 critical ill patients with ARDS from 2003 to 2004 were reviewed retrospectively.ResultsThe acute physiology and chronic health evaluation (APACHEⅡ) scores and age were all differed significantly between survivors and non-survivors groups (P<0.05). The earlier of respiratory supported, the lowest of mortality (P<0.05).Conclusion APACHEⅡ scores, age and the time of starting respiratory support are main risk factors for mortality of critical ill patients with ARDS.

Key words: surgery, acute respiratory distress syndrome(ARDS), risk factor