危重烧伤合并急性呼吸窘迫综合征临床分析及治疗对策

摘要

目的 探究影响危重烧伤合并急性呼吸窘迫综合征预后效果的因素,提供临床治疗对策.方法 选择2005年1月~2015年1月在我院治疗的危重烧伤合并急性呼吸窘迫综合征患者50例为研究对象,按照预后情况分为死亡组和存活组,采取早期诊断、呼吸机辅助呼吸、早期气管切开、激素治疗与强有力抗生素治疗等综合措施,观察预后情况.结果 危重烧伤合并ARDS的主要死亡原因与休克、MOF和呼吸道梗阻密切相关;吸入性损伤增加患者死亡率(P<0.05).结论 危重烧伤合并急性呼吸窘迫综合征是一种危重病,早诊断,早行气管切开术,重视全身性综合治疗可以提高患者存活率,改善预后.%Objective To study the effect prognosis of severe burn patients with acute respiratory distress syndrome.Methods 50 patients with acute respiratory distress syndrome treated in our hospital during January 2005 to January 2015 were divided into death group and survival group. Early diagnosis,early tracheotomy,hormone therapy and antibiotic therapy were adopted to observe the prognosis.Results The main causes of death in severe burn complicated with ARDS were related to shock,MOF and respiratory tract obstruction. The patients with inhalation injury could increase the mortality rate(P<0.05).Conclusion Severe burn injury with acute respiratory distress syndrome is a serious disease. Early diagnosis,early tracheotomy, paying attention to systemic comprehensive treatment can improve the survival rate of the patients and improve the prognosis.