王宝恩,赵淑颖,张淑文.内科成人急性呼吸窘迫综合征的中西医结合诊断与治疗[J].,1981,(2):65-68,125 |
内科成人急性呼吸窘迫综合征的中西医结合诊断与治疗 |
TCM-WM Treatment of Adult Acute Respiratory Distress Syndrome(ARDS) |
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DOI: |
中文关键词: 中西医结合诊断 呼吸困难 血气分析 低氧血症 临床表现 病死率 成人急性呼吸窘迫综合征 进行性 毫米汞柱 综合治疗措施 |
英文关键词: |
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中文摘要: |
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. |
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