治疗３０例创伤性急性呼吸窘迫综合征（ＡＲＤＳ）患者。结果显示：存活组与死亡组机械通气前的动脉血氧分压（ＰａＯ２）及动脉血二氧化碳分压（ＰａＣＯ２）有显著差异，后者ＰａＯ２降低更明显，ＰａＣＯ２较高。死亡者全部并发多脏器功能衰竭（ＭＯＦ），未并发ＭＯＦ者均存活。ＭＯＦ与创伤早期出血性休克及创伤后期的感染性休克有关。提示救治ＡＲＤＳ的关键是及早行机械通气，迅速纠正休克，同时防治感染。 Treatment of 30 patients with traumatic acute respiratory distress syndrome (ARDS). The results showed that there were significant differences between PaO2 and PaCO2 before and after mechanical ventilation in survivors and death patients, and PaO2 in PaO2 was higher in survivors and death patients. All died of multiple organ failure (MOF), no concurrent MOF were alive. MOF is associated with early hemorrhagic shock and septic shock in the late stage of trauma. Prompt treatment of ARDS is the key to early mechanical ventilation, rapid correction of shock, while preventing and treating infections.