内科成人急性呼吸窘迫综合征的中西医结合诊断与治疗

急性呼吸窘迫综合征(Adult Respiratory Dis-tress Syndrome,以下简称 ARDS)是各科急重病人的一种严重并发症。临床表现的特点为急性进行性呼吸困难及进行性低氧血症。本症起病急,进展快、病死率高(40～80%以上),因此务必力求作到早期预防、及时诊断,并尽快采取中西医结合的综合治疗措施,以提高疗效、降低病死率。三年来我院内科中西医结合病房收治 ARDS26

英文摘要:

Eighteen cases of ARDS compLicated by severe medical infection are analyzed in regard to their early diagnosis and thor TCM-WM treatment. For the diagnosis,it is stressed that the initial symptom is a sudden attack of severe progresssive respiratory difficulty with no corresponding chest signs or X-Ray findings.On gas analysis,respiratory alkalosis and lowered PaO₂ are the usual manifestations. The treatment consists of:1.Control of the underlying infections with herbs and antibiotics;2.Correction of hypoxemia with artificial ventilation,including intubation and tracheostomy when necessary;3.Promotion of bowel movement with a herbal"purgative mixture"to relieve the distress of respiration,following the TCM principle that the lungs and intestines are closely related to each other as exterior and interior;4.Correction of the hypercoagulability of the patient,if any. Out of the eighteen cases thus treated,eleven survived（61.2%）and 7 died（38.8%）,among whom 6 cases were belonging to the 4th grade.The result of the treatment,therefore,seems encouraging.

关闭