急性呼吸窘迫综合征患者的诊治方法
Approach to the patient with the acute respiratory distress syndrome.
作者信息
Janz David R, Ware Lorraine B
机构信息
Section of Pulmonary and Critical Care Medicine, Department of Medicine, LSU School of Medicine, 1901 Perdido Street, Suite 3205, New Orleans, LA 70112, USA.
Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, T-1218 MCN, 1161 21st Avenue South, Nashville, TN 37232-2650, USA.
出版信息
Clin Chest Med. 2014 Dec;35(4):685-96. doi: 10.1016/j.ccm.2014.08.007. Epub 2014 Sep 26.
Abstract
Given the high incidence and mortality of acute respiratory distress syndrome (ARDS) in critically ill patients, every practitioner needs a bedside approach both for early identification of patients at risk for ARDS and for the appropriate evaluation of patients who meet the diagnostic criteria of ARDS. Recent advances such as the Lung Injury Prediction score, the Early Acute Lung Injury score, and validation of the SpO(2)/Fio(2) ratio for assessing the degree of hypoxemia are all practical tools to aid the practitioner in caring for patients at risk of ARDS.
摘要
鉴于急性呼吸窘迫综合征（ARDS）在危重症患者中的高发病率和死亡率，每位从业者都需要一种床旁方法，用于早期识别有ARDS风险的患者以及对符合ARDS诊断标准的患者进行适当评估。近期的进展，如肺损伤预测评分、早期急性肺损伤评分以及用于评估低氧血症程度的SpO(2)/Fio(2)比值的验证，都是帮助从业者护理有ARDS风险患者的实用工具。
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