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自从20年前Ashbaugh提出成人呼吸窘迫综合征(ARDS)以来,该疾病的死亡率并无明显改善,许多旨在探讨心肺生理指标与预后关系的研究大都未获成功,可能与其仅观察了ARDS确诊资料而忽视了整个病程的变化有关。作者回顾性复习52例ARDS患者在确诊后第1、3、7天的心肺生理指标的动态变化,并探讨上述指标与预后以及多器官功能衰竭(MSOF)的关系。ARDS诊断标准为:(1)需建立人工气道进行机械呼吸的急性呼吸衰竭,(2)X线胸片上突然出现的两肺广泛浸润阴影,(3)肺毛
Since Ashbaugh’s presentation of adult respiratory distress syndrome (ARDS) 20 years ago, there has been no significant improvement in the mortality rate. Most of the studies designed to investigate the relationship between cardiopulmonary physiology and prognosis have been unsuccessful and may not be as successful as ARDS alone Information and ignore the changes in the entire course of the disease. The authors retrospectively reviewed 52 cardiopulmonary ARDS patients’ cardio-pulmonary physiology changes on the 1st, 3rd, 7th day after diagnosis and explored the relationship between them and their prognosis and multiple organ failure (MSOF). ARDS diagnostic criteria are: (1) need to establish artificial airway mechanical respiration of acute respiratory failure, (2) X-ray chest suddenly appeared extensive infiltration of the shadow of the lungs, (3)