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病毒性肺炎与急性呼吸窘迫综合征

Viral Pneumonia and Acute Respiratory Distress Syndrome.

作者信息

Shah Raj D, Wunderink Richard G

机构信息

Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Arkes 14-045, Chicago, IL 60611, USA.

Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Arkes 14-045, Chicago, IL 60611, USA.

出版信息

Clin Chest Med. 2017 Mar;38(1):113-125. doi: 10.1016/j.ccm.2016.11.013. Epub 2016 Dec 13.

Abstract

Respiratory viruses are a common cause of severe pneumonia and acute respiratory distress syndrome (ARDS) in adults. The advent of new diagnostic technologies, particularly multiplex reverse transcription polymerase chain reaction, have increased the recognition of viral respiratory infections in critically ill adults. Supportive care for adults with ARDS caused by respiratory viruses is similar to the care of patients with ARDS from other causes. Although antiviral therapy is available for some respiratory viral infections, further research is needed to determine which groups of patients would benefit.

摘要

呼吸道病毒是成人严重肺炎和急性呼吸窘迫综合征(ARDS)的常见病因。新诊断技术的出现,尤其是多重逆转录聚合酶链反应,提高了对危重症成人病毒性呼吸道感染的认知。对由呼吸道病毒引起的ARDS成人患者的支持性治疗与其他病因所致ARDS患者的治疗相似。尽管针对某些呼吸道病毒感染有抗病毒治疗方法,但仍需进一步研究以确定哪些患者群体将从中受益。

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