CAJ | 학술논문

目的：探讨有创机械通气在急性呼吸窘迫综合征(ARDS)治疗中的应用。方法回顾性分析2012年3月~2013年12月在本院行机械通气治疗的37例ARDS患者的临床资料。结果治愈28例，死亡9例，治愈率为75.7豫。无机械通气并发症发生。9例患者主要死于原发病并多器官功能衰竭。结论有创机械通气是ARDS最重要的治疗手段。临床机械通气过程中实行肺保护性通气策略、早期定时肺复张、选择最佳PEEP、毫不犹豫早上机早撤离，可最大限度发挥机械通气的功效并减少并发症，大大提高ARDS的救治成功率。
목적：탐토유창궤계통기재급성호흡군박종합정(ARDS)치료중적응용。방법회고성분석2012년3월~2013년12월재본원행궤계통기치료적37례ARDS환자적림상자료。결과치유28례，사망9례，치유솔위75.7예。무궤계통기병발증발생。9례환자주요사우원발병병다기관공능쇠갈。결론유창궤계통기시ARDS최중요적치료수단。림상궤계통기과정중실행폐보호성통기책략、조기정시폐복장、선택최가PEEP、호불유예조상궤조철리，가최대한도발휘궤계통기적공효병감소병발증，대대제고ARDS적구치성공솔。
Objective To invstigate the application of invasive mechanical ventilation in the treatment of acute respira-tory distress syndrome (ARDS). Methods Clinical data of 37 cases of ARDS who were admitted in our hospital and re-ceived invasive mechanical ventilation from March 2012 to December 2013 were retrospectively analyzed. Results 28 cases were cured (75.7%),without any mechanical ventilation-related complications.The other 9 cases were died,mainly due to primary disease combined with multi-organ failure. Conclusion Invasive mechanical ventilation is the most important therapy for ARDS.During the clinical course of mechanical ventilation,taking with lung protective ventilation strategy, early timing lung recruitment, choose the best PEEP,do not hesitate to evacuate early morning plane, can maximize the effectiveness of mechanical ventilation and reduce complications, greatly increasing the treatment success rate of ARDS.