严重烧伤患者并发急性呼吸窘迫综合征的原因分析及防治措施

摘要

Objective To study the cause of severe burn patients complicated with ARDS , clinical characteristic and the prevention and control measures.Methods The serious burn patients complicated with ARDS the clinical data of 31 cases, according to the clinical manifestation and laboratory examination , put forward the possible causes and choose suitable treatment according to the results of the diagnosis.Results The patients in the combined inhalation injury com-plicated with ARDS in 13, 4 cases occurred in shock stage , 12 cases occurred in patients , 2 cases occurred in operation the latter.This group of patients after treatment , except 2 cases died of MODS , all healing discharged from hospi-tal.Conclusions Patients with severe burn complicated with ARDS is high , causes a merger with burn area and depth , whether inhalation injury , also with shock, infection, length of surgery and intraoperative transfusion volume , nutritional support and wound treatment.For patients with severe burn complicated by early diagnosis and treatment of ARDS , can effectively reduce the patients complicated with MODS , promote wound healing early is important.%目的：探讨严重烧伤患者并发ARDS的原因、发病特点和防治措施。方法收集2005-01～2012-01间收治并发ARDS的严重烧伤患者31例的临床资料，根据临床表现和实验室检查，提出可能的致病原因并根据诊断结果选择适合的治疗方案。结果本组患者中合并吸入性损伤者并发ARDS 13例，发生于休克期者4例，发生于感染者12例，发生于手术后者2例。本组患者经过治疗，除2例死于MODS外，其余全部愈合出院。结论严重烧伤患者并发ARDS发生率很高，发病原因与烧伤面积、深度、是否合并吸入性损伤有关，也与休克、感染、手术时间长短及术中输液量、营养支持及创面处理有关。对严重烧伤患者并发ARDS的早期诊断和治疗，能有效减少此类患者并发MODS，促进创面早期愈合有重要意义。