| 段红伟1 陈艳1 杨逢永1 高明明1 张航2△.老年急性呼吸窘迫综合征肺内及肺外源性危险因素分析*[J].,2014,14(17):3312-3315 |
| 老年急性呼吸窘迫综合征肺内及肺外源性危险因素分析* |
| Analysis of Pulmonary and Extra-Pulmonary Risk Factors of AcuteRespiratory Distress Syndrome for Elderly Patients* |
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| DOI： |
| 中文关键词: 老年 急性呼吸窘迫综合征 肺内源性 肺外源性 危险因素 |
| 英文关键词: Older patients Acute respiratory distress syndrome Pulmonary Extra-pulmonary Risk factor |
| 基金项目:国家自然科学基金项目(81172203) |
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| 中文摘要: |
| 摘要目的：探讨老年急性呼吸窘迫综合征肺内及肺外源性危险因素。方法：回顾性分析130 例老年ARDS 患者，对其中的肺内及
肺外源性危险因素进行分析。结果：肺内源性ARDS 病因以误吸和肺炎为主，而肺外源性ARDS则以脓毒血症、大手术后等为主；
在死亡上均与多器官功能障碍综合征、呼吸衰竭为主要因素，且两组死亡率接近。结论：在老年急性呼吸窘迫综合征中，肺外源性
在器官功能衰竭和氧合指数上重于肺内源性，但是在其他因素和死亡结局上均无明显差异性。 |
| 英文摘要: |
| ABSTRACT Objective:To analyze and discuss the risk factors of acute respiratory distress syndrome both inter the pulmonary and
extra pulmonary for the elder patients.Methods: A retrospective analysis was performed about the clinical data of 130 elderly patients for
the risk factors of pulmonary disease. Results:Aspiration and pneumonia were the main causes of pulmonary acute respiratory distress
syndrome. However, sepsis, major surgeries and so on were the main causes of extra-pulmonary acute respiratory distress syndrome. The
death was mainly related with multiple organ dysfunction syndrome and respiratory failure, and the mortality rates of two groups were
similar. Conclusion:The organ dysfunction and the oxygenation index of the extra-pulmonary group which was worse than that in the
pulmonary group of the elder patients with the acute respiratory distress syndrome. However, there was no statistically differences of
other factors between two groups. |
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