Greive H, Imhoff M, Lehner J H, Löhlein D
Chirurgische Klinik, Städtische Kliniken, Dortmund.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:345-8.
Of forty-three consecutive patients with severe adult respiratory distress syndrome (ARDS) treated in the prone position pulmonary function improved significantly in 39 patients during the first 12 h in prone position. Changes were most pronounced in patients with high QS/QT, as well as in patients in the early stages of ARDS. Twenty-eight patients could be weaned from the ventilator, and 22 patients were able to leave the hospital. These results suggest that prone position has an important role in the overall therapeutic approach to ARDS and should be used as early as possible.
在连续接受治疗的43例重度成人呼吸窘迫综合征(ARDS)患者中,39例在俯卧位治疗的最初12小时内肺功能显著改善。QS/QT值高的患者以及ARDS早期患者的变化最为明显。28例患者成功脱机,22例患者能够出院。这些结果表明,俯卧位在ARDS的整体治疗方法中具有重要作用,应尽早使用。