机械通气和营养支持治疗急性呼吸窘迫综合征52例分析

摘要

目的 探讨急性呼吸窘迫综合征(ARDS)患者机械通气和营养支持治疗的临床特点及治疗效果.方法 回顾性分析52例ARDS患者经机械通气和营养支持治疗的临床资料.结果 52例ARDS机械通气患者1次脱机成功者42例,2次脱机成功者7例,3次脱机成功者3例.机械通气3～10d,无1例依赖呼吸机.TPN支持4～12d,完全胃肠外营养(TPN)支持期间合并高血糖5例,消化道出血6例,肺感染、呼吸衰竭7例,无1例中心静脉置管并发症.52例患者经综合治疗,45例病情控制好转,有效率86.5%,7例死亡(13.5%),死亡原因为多器官功能衰竭.住ICU时间(7.50±0.85)天.结论 ARDS目前尚无特异的治疗手段,及时采取有效的机械通气和营养支持治疗可提高抢救的成功率.%Objective To investigate the acute respiratory distress syndrome (ARDS) in patients with mechanical ventilation and nutritional support for the clinical features and treatment. Methods Retrospective analysis of 52 cases of ARDS patients with mechanical ventilation and nutritional support for clinical data. Results 52eases of ARDS patients with mechanical ventilation 1st successful offline 42 eases, 2 times offline successful seven cases, 3 times 3 cases of successful oflline. Mechanical ventilation 3 ～ 10d, and no case of ventilator-dependent. TPN support 4 ～ 12d, TPN support during the merger of five cases of high blood sugar, six cases of gastrointestinal hemorrhage, pulmonary infection, respiratory failure, 7 cases, no case of central venous catheter complications. 52cases of patients with comprehensive treatment, 45 eases of the disease control improved, 86.5 percent efficient, seven cases of death (13.5%), cause of death was multiple organ failure. LCU stay time (7.50 ± 0.85) days. Conclusions ARDS is currently no specific treatment, to take timely and effective support of mechanical ventilation and nutrition therapy can improve the success rate of rescue.