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为探讨ARDS的防治措施,本文分析了11例食管、贲门癌术后发生ARDS的发病特点及防治方法。患者有长期慢性肺部疾患、高龄、高血压病者术后容易发生。术中对肺组织的损伤及术中,术后过量输液,肺部感染及休克,缺氧可能是术后发生ARDS的重要原因之一。治疗应积极清除呼吸道分泌物,辅助通气,保持气道通畅,控制肺部感染,尤其是尽早行气管插管或气管切开为抢救成功的关键。术前肺功能检查应结合临床来综合分析。
In order to investigate the prevention and treatment of ARDS, this article analyzed the characteristics and prevention and treatment of ARDS after 11 cases of esophageal and cardiac cancer. Patients with long-term chronic lung disease, advanced age, and hypertension are prone to postoperative disease. Intraoperative injury to the lung tissue and excessive intraoperative, postoperative infusion, lung infection, and shock, hypoxia may be one of the important causes of postoperative ARDS. Treatment should actively clear respiratory secretions, assist ventilation, maintain airway patency, and control lung infections, especially if early tracheal intubation or tracheotomy is the key to success. Preoperative pulmonary function tests should be combined with clinical analysis.