Kaltman S I, Sladen A
J Oral Surg. 1977 Aug;35(8):652-9.
The adult respiratory distress syndrome (ARDS) is a sequel to pulmonary injury that may be direct, closed chest trauma or indirect, through air or vascular passages, aspiration, or fat embolization. An understanding of this syndrome is essential for the oral surgeon who not only manages severe maxillofacial injuries but is also a member of a trauma team that manages multisystem injuries. Emphasis on pathophysiologic pathways resulting in ARDS is presented with a discussion on oxygenation and ventilation abnormalities. Application of these guidelines will assist the oral surgeon in understanding the management of patients with this acute progressive syndrome.
成人呼吸窘迫综合征（ARDS）是肺损伤的一种后果，肺损伤可能是直接的，如闭合性胸部创伤，也可能是间接的，通过气道或血管途径、误吸或脂肪栓塞引起。对于口腔外科医生来说，了解这种综合征至关重要，因为他们不仅要处理严重的颌面损伤，还是处理多系统损伤的创伤团队的一员。本文重点介绍了导致ARDS的病理生理途径，并讨论了氧合和通气异常。应用这些指南将有助于口腔外科医生理解对患有这种急性进行性综合征患者的管理。
