摘要：目的：探讨严重烧伤并发急性呼吸窘迫综合征(acute respiratory distress syndrome，ARDS)发生的原因以及对其的诊断、治疗、预后作出分析和评价。方法：对20例患者进行积极抗休克、抗感染、高营养、高能量、早期切痂植皮、早期气管切开加高频通气等综合处理。结果：吸入性损伤加上顽固性休克是导致呼吸窘迫综合征的重要原因。结论：早期对吸入性损伤的处理、早期纠正低氧血症以及预防休克是预防和治疗呼吸窘迫综合征的主要手段。

    关键词： 烧伤； 呼吸窘迫综合征； 诊断； 治疗

    Clinical Analysis of 20 Patients with Burns Concurrent Respiratory Distress Syndrome

    PENG Hai-yang

    (Changpo Hospital in Guangdong, Guangdong Gaozhou 525200, China)

    Abstract：Objective：To investigate the reason which the serious burns concurrent acute respiratory distress syndrome occurs and its diagnosis, therapy, pre- after makes analyzes and appraises. Method：Carries on the positive anti- shock, the anti- infection to 20 examples patients, the high nutrition, the high energy, the early time cuts the scab skin grafting, the early tracheotomy adds high frequency ventilates and so on synthesis processing. Result：Aspiration injuries adds on the Intractable shock is causes the important reason which the respiratory distress syndrome. Conclusion：The early time to Aspiration injuries processing, the early time corrects the low oxygen blood sickness as well as the prevention shock is the main method which the prevention and therapy respiratory distress syndrome. ......