CAJ | 학술논문

目的：探讨用血管外肺水指数评价急性呼吸窘迫综合征患者预后的临床价值。方法：对2013年7月～2014年8月期间我院收治的90例急性呼吸窘迫综合征患者的临床资料进行回顾性研究。这90例患者入院后，对其均进行氧合指数检测，根据其检测结果将患者分为轻度组、中度组和重度组，每组各有30例患者。所有患者均在重症监护室接受相应的治疗。在进行治疗的3天内连续为患者测量血管外肺水指数。然后，比较三组患者3天内的平均血管外肺水指数及其1个月内的死亡率。结果：重度组患者3天内的平均血管外肺水指数明显高于中度组和轻度组患者，中度组患者3天内的平均血管外肺水指数明显高于轻度组患者，差异具有显著性（P＞0.05）。重度组患者1个月内的死亡率明显高于中度组和轻度组患者，中度组患者1个月内的死亡率明显高于轻度组患者，差异具有显著性（P＞0.05）。这说明，患者血管外肺水指数越高，其病情越严重。结论：用血管外肺水指数评价急性呼吸窘迫综合征患者的预后具有重要的临床价值。此方法值得在临床上推广应用。
목적：탐토용혈관외폐수지수평개급성호흡군박종합정환자예후적림상개치。방법：대2013년7월～2014년8월기간아원수치적90례급성호흡군박종합정환자적림상자료진행회고성연구。저90례환자입원후，대기균진행양합지수검측，근거기검측결과장환자분위경도조、중도조화중도조，매조각유30례환자。소유환자균재중증감호실접수상응적치료。재진행치료적3천내련속위환자측량혈관외폐수지수。연후，비교삼조환자3천내적평균혈관외폐수지수급기1개월내적사망솔。결과：중도조환자3천내적평균혈관외폐수지수명현고우중도조화경도조환자，중도조환자3천내적평균혈관외폐수지수명현고우경도조환자，차이구유현저성（P＞0.05）。중도조환자1개월내적사망솔명현고우중도조화경도조환자，중도조환자1개월내적사망솔명현고우경도조환자，차이구유현저성（P＞0.05）。저설명，환자혈관외폐수지수월고，기병정월엄중。결론：용혈관외폐수지수평개급성호흡군박종합정환자적예후구유중요적림상개치。차방법치득재림상상추엄응용。
Objective To analyze and discuss the application value extravascular lung water index for the prognosis of patients with acute respiratory distress syndrome were evaluated.Methods Randomly selected 90 cases of acute respiratory distress syndrome as the object of study, the patients were divided according to the oxygenation index moderate, mild and severe groups of patients (30 cases). All patients entering the intensive care unit after the corresponding treatment, the mortality rate in patients with average contrast extravascular lung water index three days and one month period.Results Compared to the group with mild, moderate and severe patients extravascular lung water index average of 3 days significantly higher (P> 0.05); compared with mild group, the average moderate extravascular lung water index was significantly higher (P <0.05), the difference was statistically significant.Conclusion Extravascular lung water index to acute respiratory distress syndrome to evaluate the patient’s condition has important clinical value in evaluating the prognosis of patients.