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弥漫性肺泡损伤与小儿急性呼吸窘迫综合征临床诊断的相关性

Diffuse Alveolar Damage Correlation with Clinical Diagnosis of Pediatric Acute Respiratory Distress Syndrome.

作者信息

Serdaroglu Esra, Kesici Selman, Bayrakci Benan, Kale Gulsev

机构信息

Department of Pediatric Critical Care, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey.

Department of Pediatric Pathology, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey.

出版信息

J Pediatr Intensive Care. 2021 Mar;10(1):52-57. doi: 10.1055/s-0040-1714127. Epub 2020 Jul 20.

DOI:10.1055/s-0040-1714127
PMID:33585062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7870331/
Abstract

Diffuse alveolar damage (DAD) is one of the pathological hallmarks of acute respiratory distress syndrome (ARDS). We aimed to compare pathological findings of DAD with clinical ARDS criteria. We re-evaluated 20 patients whose clinical autopsy revealed DAD. Total 11/20 patients with DAD (55%) met the 1994 American-European Consensus Conference and 7/17 (41%) met the 2012 Berlin clinical criteria. DAD showed only moderate correlation with current clinical ARDS definition. Oxygenation index (OI), seems to be the most valuable tool in predicting pulmonary damage severity, though OI is not listed in either of the previous definitions. We support the recommended use of OI by 2015 consensus conference.

摘要

弥漫性肺泡损伤（DAD）是急性呼吸窘迫综合征（ARDS）的病理特征之一。我们旨在比较DAD的病理结果与临床ARDS标准。我们重新评估了20例临床尸检显示有DAD的患者。20例DAD患者中共有11例（55%）符合1994年美欧共识会议标准，17例中的7例（41%）符合2012年柏林临床标准。DAD与当前临床ARDS定义仅呈中度相关。氧合指数（OI）似乎是预测肺损伤严重程度最有价值的工具，尽管OI未被列入之前的任何一个定义中。我们支持2015年共识会议推荐使用OI。

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本文引用的文献

1
Pediatric ARDS.
Respir Care. 2017 Jun;62(6):718-731. doi: 10.4187/respcare.05591.
2
PALICC definition of ARDS. Don't remove that brick from the wall and keep it smart and simple.
Med Intensiva. 2016 Jun-Jul;40(5):311-4. doi: 10.1016/j.medin.2015.12.009. Epub 2016 Feb 26.
3
Are we ready to accept the Berlin definition of acute respiratory distress syndrome for use in children?
Crit Care Med. 2015 May;43(5):1132-4. doi: 10.1097/CCM.0000000000000893.
4
Evaluation of the oxygenation index in adult respiratory failure.
J Trauma Acute Care Surg. 2014 Feb;76(2):469-73. doi: 10.1097/TA.0b013e3182ab0d27.
5
Acute respiratory distress syndrome in children: physiology and management.
Curr Opin Pediatr. 2013 Jun;25(3):338-43. doi: 10.1097/MOP.0b013e328360bbe7.
6
Comparison of the Berlin definition for acute respiratory distress syndrome with autopsy.
Am J Respir Crit Care Med. 2013 Apr 1;187(7):761-7. doi: 10.1164/rccm.201211-1981OC.
7
Pediatric Acute Lung Injury Epidemiology and Natural History study: Incidence and outcome of the acute respiratory distress syndrome in children.
Crit Care Med. 2012 Dec;40(12):3238-45. doi: 10.1097/CCM.0b013e318260caa3.
8
The acute respiratory distress syndrome.
J Clin Invest. 2012 Aug;122(8):2731-40. doi: 10.1172/JCI60331. Epub 2012 Aug 1.
9
Acute respiratory distress syndrome: the Berlin Definition.
JAMA. 2012 Jun 20;307(23):2526-33. doi: 10.1001/jama.2012.5669.
10
Two forms of diffuse alveolar damage in the lungs of patients with acute respiratory distress syndrome.
Hum Pathol. 2009 Nov;40(11):1618-27. doi: 10.1016/j.humpath.2009.04.019. Epub 2009 Aug 3.

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