中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
4期
585-585,587
,共2页
体外循环%急性呼吸窘迫综合征%治疗
體外循環%急性呼吸窘迫綜閤徵%治療
체외순배%급성호흡군박종합정%치료
Cardiopulmonary bypass%Acute respiratory distress syndrome%Clinical manifestation
目的：分析我院近5年来小儿先心病体外循环心脏术后发生急性呼吸窘迫综合征(ARDS)的可能原因及治疗措施。方法：对86例体外循环后急性呼吸窘迫综合症及时作出诊断、分析可能原因。结果：2例合并严重肾功能衰竭、3例术后ARDS导致多器官功能衰竭者死亡，其余均痊愈出院，且远期随访均无肺损伤后遗症。结论：更新对ARDS病理改变的认识，减少可能诱因，早期诊断及积极有效的治疗。
目的：分析我院近5年來小兒先心病體外循環心髒術後髮生急性呼吸窘迫綜閤徵(ARDS)的可能原因及治療措施。方法：對86例體外循環後急性呼吸窘迫綜閤癥及時作齣診斷、分析可能原因。結果：2例閤併嚴重腎功能衰竭、3例術後ARDS導緻多器官功能衰竭者死亡，其餘均痊愈齣院，且遠期隨訪均無肺損傷後遺癥。結論：更新對ARDS病理改變的認識，減少可能誘因，早期診斷及積極有效的治療。
목적：분석아원근5년래소인선심병체외순배심장술후발생급성호흡군박종합정(ARDS)적가능원인급치료조시。방법：대86례체외순배후급성호흡군박종합증급시작출진단、분석가능원인。결과：2례합병엄중신공능쇠갈、3례술후ARDS도치다기관공능쇠갈자사망，기여균전유출원，차원기수방균무폐손상후유증。결론：경신대ARDS병리개변적인식，감소가능유인，조기진단급적겁유효적치료。
Objective:Analysis of our hospital in recent 5 years of pediatric congenital heart disease cardiopulmonary bypass after cardiac surgery of acute respiratory distress syndrome (ARDS) may be the cause and the treatment measures. Methods:86 patients after cardiopulmonary bypass in acute respiratory distress syndrome timely diagnosis is made, analysis of possible causes. Results:2 patients with severe renal failure, 3 cases of postoperative ARDS leads to multiple organ failure and death, the remaining were cured, and long-term follow-up showed no lung injury sequelae. Conclusion:Update on ARDS pathological change the understanding, reduce the possible predisposing factors, early diagnosis and effective treatment.
