成人呼吸窘迫症（ARDS）是外科中较严重的并发症，特别是严重胸部外伤中发生率极高、我院1987～1997年共收治胸部外伤372例，其中严重胸部外伤门例，并发ARDS27例。报告如下：1临床资料1．1一般资料本组男23例，女4例；年龄23～76岁。均有严重的胸部外伤：多发性肋骨折，肺挫伤 Adult respiratory distress syndrome (ARDS) is a more serious surgical complications, especially in the incidence of severe chest trauma in our hospital from 1987 to 1997 were treated 372 cases of chest trauma, including severe thoracic injuries in patients with ARDS complicated by 27 cases . The report is as follows: 1 Clinical data 1.1 General information The group of 23 males and 4 females; aged 23 to 76 years old. Both have severe chest trauma: multiple rib fractures, pulmonary contusion