中国当代儿科杂志2011，Vol.13Issue(7)：543-546,4.
儿童急性呼吸窘迫综合征预后及其影响因素分析
Prognosis and its affecting factors in children with acute respiratory distress syndrome
牛志民 1李艳红 1姜舜杰 1毛向莹 1李玉洁1
作者信息
- 1. 长垣县人民医院儿科,河南,长垣,453400
- 折叠
摘要
Abstract
Objective To study the prognosis and the factors affecting the prognosis in children with acute respiratory distress syndrome (ARDS). Methods Seventy-eight children with ARDS were enrolled. The states of their survival within 30 days were followed-up. Results Of the 78 children with ARDS, 51 cases demised, 27 cases survived, with a 30-days survival rate of 35％. The average survival time was 14.4 days (median: 8 days). The peak of death appeared within 3 days after ARDS. There were significant differences in aspects of age, primary disease, percentage of neonatal hyaline membrane disease, pediatric critical illness score (PCIS), duration of mechanical ventilation, oxygenation index (PaO2/FiO2 ), white blood cell count and number of involved organs between the died and survived children ( P ＜0.05 or 0.01 ).The Cox multiple factors analysis showed that the age ( HR 3. 924 ～ 3. 938 ), primary disease ( HR = 1. 817 ) and PCIS (HR =0.469) were the risk factors of death. Conclusions The peak of death usually appears within 3 days after ARDS.Age, primary disease and PCIS are the independent factors of prognosis in children with ARDS.关键词
急性呼吸窘迫综合征/预后/儿童Key words
Acute respiratory distress syndrome/ Prognosis/ Child分类
医药卫生引用本文复制引用
牛志民,李艳红,姜舜杰,毛向莹,李玉洁..儿童急性呼吸窘迫综合征预后及其影响因素分析[J].中国当代儿科杂志,2011,13(7):543-546,4.
