Patel Kaushal, Baltaji Stephanie, Rabold Erica, Malik Khalid, Adurty Rajashekar, Cheema Tariq
Division of Pulmonary Critical Care, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, Pennsylvania (Drs Patel, Rabold, Malik, Adurty, and Cheema); and Internal Medicine Residency, Department of Medicine, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, Pennsylvania (Dr Baltaji).
Crit Care Nurs Q. 2019 Oct/Dec;42(4):417-430. doi: 10.1097/CNQ.0000000000000282.
Acute respiratory distress syndrome (ARDS) was first described in 1967 by Ashbaugh and colleagues. Acute respiratory distress syndrome is a clinical syndrome, not a disease, and has no ideal definition or gold standard diagnostic test. There are multiple causes and different pathways of pathogenesis as well as various histological findings. Given these variations, there are many clinical entities that can get confused with ARDS. These entities are discussed in this article as "Mimics of ARDS." It imperative to correctly identify ARDS and distinguish it from other diseases to implement correct management strategy.
急性呼吸窘迫综合征(ARDS)于1967年由阿什baugh及其同事首次描述。急性呼吸窘迫综合征是一种临床综合征,而非一种疾病,目前尚无理想的定义或金标准诊断测试。其病因多样,发病机制途径不同,组织学表现也各不相同。鉴于这些差异,有许多临床病症可能会与ARDS混淆。本文将这些病症作为“ARDS的模仿者”进行讨论。正确识别ARDS并将其与其他疾病区分开来对于实施正确的管理策略至关重要。