• S Zhang, H Lu, W Gao, K Xu, N Li, G Lu, D Mao, C Huang, X Fan, and H Su.
• Department Thoracic and Cardiovascular Surgery, Lanzhou General Hospital of People's Liberation Army, Lanzhou 730050.
• Zhonghua Wai Ke Za Zhi. 1999 Dec 1;37(12):751-3.

ObjectiveTo determine the characteristic predictors of acute respiratory distress syndrome (ARDS) in the high altitude area of China.MethodsAccording to the diagnostic criteria of ARDS, 2 325 cases were screened in the recent 10 years. Except malignant tumors, cardio-cerebrovascular diseases, chronic obstructive pulmonary disease, and chronic multiple organ failure, the causes of death were analysed retrospectively.Results94 cases (4.04%) were diagnosed as ARDS, but in the primary case record, only 27 cases (1.16%) had been diagnosed as ARDS/MOF. Of the 94 ARDS patients, 79 complicated by extrapulmonary organ damage involving the kidney, heart, liver, gastro-intestinal tract, and brain. A total of 305 organs were involved (average 3.24 organs each case). Lung failure only accounted for 15 cases.ConclusionsThe combination of the diagnostic criteria of ARDS for high altitude area and flate area, injury severity scale, blood gas monitoring, and integrated traditional Chinese medicine and western medicine may improve the prognosis of ARDS.

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