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題 名 | Clinical Spectrum of Acute Respiratory Distress Syndrome in a Tertiary Referral Hospital: Etiology, Severity, Clinical Course, and Hospital Outcome=急性呼吸窘迫症候群病人在醫學中心之臨床表現:病因,嚴重度,臨床經過及結果 |
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作 者 | 鄭之勛; 余忠仁; 廖永祥; 吳惠東; 王鶴健; 郭炳宏; 楊泮池; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 99:7 2000.07[民89.07] |
頁 次 | 頁538-543 |
分類號 | 415.47 |
關鍵詞 | 急性呼吸窘迫症候群; 機械式呼吸輔助; Acute respiratory distress syndrome; Mechanical ventilation; |
語 文 | 英文(English) |
英文摘要 | Background and purpose: The clinical picture of patients with acute respiratory distress syndrome (ARDS) in Taiwan has seldom been reported, although new definitions of ARDS have been introduced over the past years. The purpose of this study was to investigate the clinical characteristics, modalities of management, and outcomes in patients with ARDS treated in a tertiary referral hospital. Methods: Case records were selected through a computerized search of diagnosis codified at discharge during the period from January 1995 to June 1997. Patients who met the criteria of the American-European Consensus Conference definition of ARDS were included and their medical records were retrospectively reviewed. Results: A total of 145 patients (91 men, 54 women; mean age, 58 years) who fulfilled the criteria for ARDS were identified. Malignancy (n = 53) and diabetes mellitus (n = 23) were the most common co-morbid conditions. Pneumonia (n = 90), including community-acquired pneumonia in 45 (31%) patients, was the most common risk factor. The lung injury score at the time of ARDS diagnosis was 2.89 �b�n0.40 (mean �b�nstandard error, SE). The worst value of P a O 2 /F I O 2 was 86.8 �b�n3.8 mm Hg (mean �b�nSE). Among the 145 patients, 130 (90%) received mechanical ventilation and 118 (81%) were treated in the intensive care unit. In-hospital mortality was 87%. Seventy (48%) patients received intensive treatment for ARDS, among whom 52 (74%) died; the most common causes of death were multiple organ failure (54%) and respiratory failure (23%). Conclusions: The mortality in patients with ARDS was high in this tertiary referral institution. Our findings suggest that aggressive ventilatory, pharmacologic, and supportive therapy may be important to achieve a higher survival rate. |
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