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目的:探讨高原地区急性呼吸窘迫综合征/多脏器功能障碍综合征(H-ARDS/MODS)诊断标准在西宁地区的临床应用。方法:收集了1993年—2008年的39例符合H-ARDS/MODS病例,按建立诊断标准时间分为建标前组(A组,1993年1月—2000年12月,n=17)及建标后组(B组,2001年1月—2008年12月,n=22)。在原发病因、病情基础、APACHE评分大体均衡的前提下,对两组进行初步对比研究。结果:B组的上机时间早于A组,带机时间短于A组,死亡率低于A组。结论:依照H-ARDS/MODS诊断标准,早期给予各脏器功能的支持及保护,可能改善H-ARDS/MODS的结局。
Objective: To investigate the clinical application of diagnostic criteria of acute respiratory distress syndrome / multiple organ dysfunction syndrome (H-ARDS / MODS) in Xining area in plateau. Methods: Thirty-nine cases of H-ARDS / MODS cases were collected from 1993 to 2008 and divided into pre-establishment group (group A, n = 17 from January 1993 to December 2000) After the establishment of the standard group (B group, January 2001 -2008 in December, n = 22). In the primary etiology, the basis of the disease, APACHE score under the premise of a balanced, preliminary comparison of the two groups. Results: The time of going on machine in group B was earlier than that in group A, the time of bringing machine was shorter than that in group A, and the death rate was lower than that in group A. CONCLUSIONS: Early support and protection of organ function in H-ARDS / MODS may improve the outcome of H-ARDS / MODS.