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目的探讨急性呼吸窘迫综合征临床治疗方法及预后效果。方法本次研究选取共100例患者,随机分为观察组和对照组,各50例,两组均行对症支持,保持呼吸道通畅,积极治疗原发病,并行无创机械通气治疗。观察组在以上综合治疗的基础上,加用东莨菪碱静脉滴注。结果两组临床救治过程中均无氧中毒、气压伤、呼吸机相关肺炎、肺损伤等情况。观察组患者总有效率为96.0%,对照组患者总有效率为78.0%,观察组明显优于对照组(P<0.05)。结论急性呼吸窘迫综合征患者在应用机械通气常规治疗的同时,加用东莨菪碱治疗,可使预后、治疗有效率明显提高,氧合功能得以改善,最大限度的纠正了低氧血症,降低氧耗,改善肺泡通气量,具有非常重要的临床价值。
Objective To investigate the clinical treatment and prognosis of acute respiratory distress syndrome. Methods A total of 100 patients were selected in this study and randomly divided into observation group and control group, with 50 cases in each group. Symptomatic support was maintained in both groups, the airway was maintained, the primary disease was actively treated, and non-invasive mechanical ventilation was used. Observation group in the above comprehensive treatment based on the addition of scopolamine intravenous infusion. Results There were no oxygen poisoning, barotrauma, ventilator-associated pneumonia and lung injury in the two groups during clinical treatment. The total effective rate was 96.0% in the observation group and 78.0% in the control group, and the observation group was significantly better than the control group (P <0.05). Conclusion Acute respiratory distress syndrome patients treated with routine mechanical ventilation plus scopolamine treatment can significantly improve the prognosis and treatment efficiency, improve the oxygenation function, correct the hypoxemia to the maximum and reduce the oxygen consumption , Improve alveolar ventilation, has a very important clinical value.