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本文对５７例重度创伤后并发的急性呼吸窘迫综合征（ＡＲＤＳ）进行了回顾性总结。５７例中合并多器官功能衰竭（ＭＯＦ）３４例。全组中死亡３６例（６３．２％），第三、四期病死率明显高于第一，二期。酸碱失衡中以呼吸性碱中毒合并代谢性酸中毒和呼吸性酸中毒合并代谢性酸中毒为最多见。分析了ＡＲＤＳ与全身炎症反应综合征（ＳＩＲＳ）和ＭＯＦ的关系。由于创伤后ＡＲＤＳ的发生率及病死率均较高，因而在创伤救治中，应密切监测呼吸和其它脏器的功能，以免发生ＭＯＦ，提高创伤后ＡＲＤＳ的救治水平。
In this paper, 57 cases of severe acute respiratory distress syndrome (ARDS) complicated by trauma were retrospectively reviewed. Fifty-seven patients had multiple organ failure (MOF) in 34 cases. Thirty-six (63.2%) died in the whole group, and the third and fourth cases were significantly higher than the first and second cases. Acid-base imbalance in respiratory alkalosis with metabolic acidosis and respiratory acidosis with metabolic acidosis is the most common. The relationship between ARDS and systemic inflammatory response syndrome (SIRS) and MOF was analyzed. Due to the high incidence and mortality of ARDS after trauma, the function of respiration and other organs should be closely monitored in the treatment of trauma so as to prevent the occurrence of MOF and improve the therapeutic level of ARDS after trauma.