Yu Xiaofeng, Ren Hui, Zhang Jiaping
Zhonghua Shao Shang Za Zhi. 2015 Apr;31(2):153-6.
Pulmonary edema frequently occurs after severe burn. It not only impairs pulmonary function directly, but also can induce or exacerbate other pulmonary complications such as lung infection, acute lung injury ( ALI), and ARDS. Extravascular lung water (EVLW) is closely related to the pulmonary edema. Dynamical monitor of EVLW has been used to predict and quantify the degree of pulmonary edema clinically. This review focuses on the recent progresses at home and abroad on the formation mechanism, monitoring approach, and prevention and treatment of EVLW after severe burn injury.
肺水肿在严重烧伤后经常发生。它不仅直接损害肺功能,还可诱发或加重其他肺部并发症,如肺部感染、急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS)。血管外肺水(EVLW)与肺水肿密切相关。临床上已采用动态监测EVLW来预测和量化肺水肿的程度。本文综述了国内外关于严重烧伤后EVLW的形成机制、监测方法以及防治方面的最新研究进展。