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比较两种ＡＲＤＳ（急性呼吸窘迫综合征）诊断标准的临床应用。符合国内标准者１２９例，病死率４５．０％。符合美欧ＡＬＩ（急性肺损伤）和ＡＲＤＳ诊断标准者分别为４９和７５例，ＡＲＤＳ者的病死率显著高于ＡＬＩ者。ＡＲＤＳ预后与合并ＭＯＤＳ（多器官功能障碍综合征）显著相关。Ｘ线胸片有双肺浸润影而呼吸频率（ＲＲ）小于２８次／分者２１例，其平均年龄（６１．０±７．２）显著高于ＲＲ大于２８次／分者。８例生前符合两种诊断标准者，尸检证明４例无ＡＲＤＳ病理特征。结果表明：①ＡＲＤＳ合并ＭＯＤＳ者病死率明显增高；②老年患者ＲＲ明显增快的程度低于年轻者；③两种诊断标准均存在局限性，对于合并肺部并发症的危重者，诊断ＡＲＤＳ应持之慎重。
The clinical application of two diagnostic criteria for ARDS (Acute Respiratory Distress Syndrome) was compared. In line with the domestic standard of 129 cases, case fatality rate 45.0%. In line with the United States and Europe ALI (acute lung injury) and ARDS diagnostic criteria were 49 and 75 cases, ARDS were significantly higher mortality than ALI. The prognosis of ARDS is significantly associated with MODS (Multiple Organ Dysfunction Syndrome). X-ray chest with infiltration of the lungs and respiratory rate (RR) less than 28 beats / min in 21 cases, the average age (61.0 ± 7.2) was significantly higher than the RR greater than 28 beats / min. 8 cases of life-before meet the two diagnostic criteria were confirmed by autopsy 4 cases of ARDS pathological features. The results showed that: ①ARDS combined with MODS mortality was significantly increased; ② elderly RR increased significantly younger than the degree of; ③ both diagnostic criteria have limitations, for those with complications of pulmonary complications, ARDS diagnosis should hold Caution.