Analysis of incidence condition and correlation with ARDSin General hospital of Jincheng Coal mining Group Co,Lid
- Author:
- No author available
- Journal Title:
- CHINA CLINICAL PRACTICAL MEDICINE
- Issue:
- 9
- DOI:
- 10.3760/cma.j.issn1673-8799.2010.09.10
- Key Word:
- 急性呼吸窘迫综合征(ARDS);病死率;发病率;Acute respiratory distress syndrom;Mortality;Incidence
Abstract： Objective To investigate incidence,cause and mortality of acute respiratory distress syndrom (ARDS) in intensive care unit in Jincheng mineral general hospital.Methods Patients in ICU of Jincheng mineral general hospital from 2004 to 2009 were retrospectively studied.ARDSwas diagnosed according to the 1994 American-European consensus conference criteria.Results Of 1714 patients admitted to ICUs in the same period,there were 60 patients (3.5%) diagnosed as having ARDS.In 16 pulmonary ARDScases (26.7%) ,10 died,mortality was 62.5%.In 44 extro-Pulmonary ARDSpatients (73.3%),21 died,mortality was 47.1%.Pulmonary ARDSmortality was significantly higher than the extro-Pulmonary ARDS(x2 = 13.261 ,P ＜0.01).Major primary diseases for ARDSwere sepsis (21.7%),pneumonia (16.7%) ,multiple severe truma (25%) ,acute pancreatitis (5%).The overall mortality of ARDSwas 51.67%.septic shock (51.61%) was major lethal cause,while only 29.03% died of respiratory failure.In six years,mortality had no significant changes.Conclusion ARDS frequent in ICU in Jincheng,the mortality remains high,and there is no tendency to decline in recent years.
- [1]北京市科委重大项目MODS课题组.1998-2003年北京地区重症加强治疗病房急性呼吸窘迫综合征的临床流行病学调查[J].2007,(4).
- [2]方强,章云涛,吴晓梁.肺源性和非肺源性ARDS早期肺和胸廓顺应性的比较[J].2005,(9).
- [3]林洪远,盛志勇.全身炎症反应和MODS认识的变化及现状[J].2001,(11).
- [4]解立新,刘又宁.肺内源性急性呼吸窘迫综合征（ARDS）与肺外源性ARDS[J].2003,(7).
- [5]Brun Buisson C,Minelli C,Bertolini G,etc.Epidemiology and outcome of acute lung injury in European intensive care units. Results from the ALIVE study.[J].2004,30(1).
- [6]邱海波,陈德昌,刘大为.急性呼吸窘迫综合征患者病死危险因素的调查[J].1998,(9).
- [7]Song Z,Yang C Bai X,Lu Y,etc.A 12-month clinical survey of incidence and outcome of acute respiratory distress syndrome in Shanghai intensive care units.[J].2004,30(12).
- [8]Bozzetti MC,Silva DR,Fialkow L,etc.Acute lung injury and acute respiratory distress syndrome at the intensive care unit of a general university hospital in Brazil. An epidemiological study using the American-European Consensus Criteria.[J].2002,28(11).
- [9]Shou J,Eachempati SR,Barie PS,etc.Outcomes of acute respiratory distress syndrome (ARDS) in elderly patients.[J].2007,63(2).
- [10]Krafft P.,Fridrich P.,Pernerstorfer T.,etc.The acute respiratory distress syndrome: definitions, severity and clinical outcome[J].1996.
- [11]李琦,钱桂生,陈睚堂,等.急性呼吸窘迫综合征血管内皮细胞功能改变的研究[J].1999,(5).
- [12]Muench E,Friess U,Luecke T,etc.Predictors of mortality in ARDS patients referred to a tertiary care centre: a pilot study.[J].2006,23(5).
- [13]Caldwell E,Okamoto VN,Heckbert SR,etc.Predictors of hospital mortality in a population-based cohort of patients with acute lung injury.[J].2008,36(5).
- [14]P, Pelosi,D, D'Onofrio,D, Chiumello,etc.Pulmonary and extrapulmonary acute respiratory distress syndrome are different.[J].2003,42.
- [15]J C, Marshall,D J, Cook,N V, Christou,etc.Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome.[J].1995,23(10).
- [16]Brett SJ,Abel SJ,Keogh BF,etc.Reduced mortality in association with the acute respiratory distress syndrome (ARDS).[J].1998,53(4).
- [17].American College of Chest Physicians/ Society of Critical Care Medicine Consensus ConferenceDefinitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis[J].1992,20(6).
- [18]Martin DP,Rubenfeld GD,Stern EJ,etc.Incidence and outcomes of acute lung injury.[J].2005,353(16).
- [19]W J, Fulkerson,N, MacIntyre,J, Stamler,etc.Pathogenesis and treatment of the adult respiratory distress syndrome.[J].1996,156(1).