论文部分内容阅读
急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)概念的提出源于1967年Ashbough等对12例急性呼吸衰竭患者临床资料的研究,2012年柏林会议去除急性肺损伤(ALI)概念,将其分为轻、中、重3期[1]。尸检证实,重度ARDS患者普遍存在弥漫性肺泡损伤[2],是临床常见的危重症之一,病死率高达30%[3]。机械通气是治疗ARDS的有效方法,只要治疗时机及时,通气策略正确,可显著提高患者生存率,降低病死率。
The concept of acute respiratory distress syndrome (ARDS) was proposed by Ashbough et al in 1967 to study the clinical data of 12 patients with acute respiratory failure. The concept of acute lung injury (ALI) was removed at the Berlin conference in 2012, Light, medium and heavy 3 [1]. Autopsy confirmed that widespread diffuse alveolar damage in patients with ARDS [2], is one of the common clinical critically ill, case fatality rate as high as 30% [3]. Mechanical ventilation is an effective method of treatment of ARDS, as long as the timing of treatment, ventilation strategy is correct, can significantly improve patient survival and reduce mortality.