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本文引用的文献

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The Use of Volatile Anesthetics as Sedatives for Acute Respiratory Distress Syndrome.挥发性麻醉剂作为急性呼吸窘迫综合征镇静剂的应用
Transl Perioper Pain Med. 2019;6(2):27-38. doi: 10.31480/2330-4871/084. Epub 2019 Feb 21.
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Biomarkers for Acute Respiratory Distress syndrome and prospects for personalised medicine.急性呼吸窘迫综合征的生物标志物与个性化医疗前景
J Inflamm (Lond). 2019 Jan 15;16:1. doi: 10.1186/s12950-018-0202-y. eCollection 2019.
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Role of Receptor for Advanced Glycation End Products in Regulating Lung Fluid Balance in Lipopolysaccharide-induced Acute Lung Injury and Infection-Related Acute Respiratory Distress Syndrome.晚期糖基化终产物受体在脂多糖诱导的急性肺损伤和感染相关急性呼吸窘迫综合征中调节肺液平衡的作用。
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The PI3K Pathway in Human Disease.人类疾病中的PI3K信号通路。
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All the "RAGE" in lung disease: The receptor for advanced glycation endproducts (RAGE) is a major mediator of pulmonary inflammatory responses.肺部疾病中的所有“愤怒”:晚期糖基化终产物受体(RAGE)是肺部炎症反应的主要介质。
Paediatr Respir Rev. 2017 Jun;23:40-49. doi: 10.1016/j.prrv.2017.03.012. Epub 2017 Mar 18.
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Past and Present ARDS Mortality Rates: A Systematic Review.急性呼吸窘迫综合征的过去与现在死亡率:一项系统评价
Respir Care. 2017 Jan;62(1):113-122. doi: 10.4187/respcare.04716. Epub 2016 Nov 1.
7
What's Next After ARDS: Long-Term Outcomes.急性呼吸窘迫综合征后的后续情况:长期预后
Respir Care. 2016 May;61(5):689-99. doi: 10.4187/respcare.04644.
8
Volatile Anesthetics. Is a New Player Emerging in Critical Care Sedation?挥发性麻醉剂。在重症监护镇静中是否出现了新的玩家?
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9
Sepsis and ARDS: The Dark Side of Histones.脓毒症与急性呼吸窘迫综合征:组蛋白的阴暗面
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10
Biomarkers in acute lung injury.急性肺损伤中的生物标志物。
Respir Physiol Neurobiol. 2015 Apr;209:52-8. doi: 10.1016/j.resp.2014.10.006. Epub 2014 Oct 22.

肺上皮蛋白表达与挥发性麻醉药在急性呼吸窘迫综合征中的应用

Lung Epithelial Protein Expression and the Use of Volatile Anesthetics in Acute Respiratory Distress Syndrome.

作者信息

Decker Eric P, Vasauskas Audrey A

机构信息

Anesthesiology, Alabama College of Osteopathic Medicine, Dothan, USA.

Molecular Medicine, Alabama College of Osteopathic Medicine, Dothan, USA.

出版信息

Cureus. 2020 Sep 2;12(9):e10196. doi: 10.7759/cureus.10196.

DOI:10.7759/cureus.10196
PMID:33033674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7532868/
Abstract

Acute respiratory distress syndrome (ARDS) is a potentially fatal lung injury that can present with divergent underlying cause across cases. Current treatment options are limited by an incomplete understanding of the disease sequelae, undefined unifying pathology, and lack of reliable diagnostic tools. ARDS is defined as respiratory failure not caused by fluid overload or cardiac failure within one week of a known clinical insult with bilateral opacities on chest imaging, and diagnosis is based on these parameters. Increased understanding of the inflammatory cascade associated with ARDS progression shows promise for identifying potential diagnostic biomarkers and additional treatment options. Here, we review recent studies that point to the unifying inflammatory element(s) of the disease process and the use of agents that decrease inflammation as potentially powerful treatments for ARDS patients.

摘要

急性呼吸窘迫综合征(ARDS)是一种潜在致命的肺损伤,不同病例的潜在病因可能各不相同。目前的治疗选择受到对疾病后遗症认识不足、未明确的统一病理学以及缺乏可靠诊断工具的限制。ARDS被定义为在已知临床损伤后一周内,由非液体超负荷或心力衰竭导致的呼吸衰竭,胸部影像学显示双侧混浊,诊断基于这些参数。对与ARDS进展相关的炎症级联反应的深入了解,为识别潜在的诊断生物标志物和其他治疗选择带来了希望。在此,我们回顾了近期的研究,这些研究指出了疾病过程中统一的炎症因素,以及使用减轻炎症的药物作为ARDS患者潜在的有效治疗方法。