Fluge O, Reikvam A
Medisinsk avdeling, Sentralsjukehuset i Sogn og Fjordane, Førde.
Tidsskr Nor Laegeforen. 1990 Sep 10;110(21):2757-8.
We describe the case of 42 year-old male patient who developed adult respiratory distress syndrome (ARDS) during an acute myocardial infarction. He was treated with positive pressure ventilation for 23 days. Chest X-ray showed multiple, bilateral infiltrates for several weeks. ARDS is accompanied by serious and progressive hypoxemia. Early diagnosis is important. The therapeutic consequences involve positive pressure ventilation with increased inspired oxygen concentration and positive end-expiratory pressure. ARDS in patients with impaired myocardial function can be difficult to recognize. It is an alternative diagnosis to pneumonia and ordinary heart failure when patients are seen to be suffering serious hypoxemia.
我们描述了一名42岁男性患者的病例，该患者在急性心肌梗死期间发生了成人呼吸窘迫综合征（ARDS）。他接受了23天的正压通气治疗。胸部X光片显示数周内双侧有多处浸润影。ARDS伴有严重且进行性低氧血症。早期诊断很重要。治疗措施包括增加吸入氧浓度和呼气末正压的正压通气。心肌功能受损患者的ARDS可能难以识别。当患者出现严重低氧血症时，它是肺炎和普通心力衰竭的一种鉴别诊断。
