Vignali G, Rogato G, Mondello V, Vignale L, Guadagnucci A, Vignali F, Tulli G
Istituto di Anestesiologia e Rianimazione, Università degli Studi di Siena.
Minerva Anestesiol. 1990 Jan-Feb;56(1-2):1-5.
A young AIDS patient was admitted to the Intensive Therapy ward of our hospital with ARDS. The case raised the question of how medical and nursing personnel should face the problem of "suitable treatment for a terminally ill patient". Therapy was based on invasive methods such as mechanical ventilation and the insertion of catheters to monitor vital parameters. The evolution of ARDS in MOFS revealed the difficulty of sustaining vital parameters and avoiding pluriorganic damage.
一名年轻的艾滋病患者因急性呼吸窘迫综合征(ARDS)入住我院重症治疗病房。该病例引发了一个问题,即医护人员应如何面对“为绝症患者提供适当治疗”这一问题。治疗基于侵入性方法,如机械通气和插入导管以监测生命体征。ARDS在多器官功能障碍综合征(MOFS)中的进展显示了维持生命体征和避免多器官损伤的困难。