Jardin F, Prost J F, Bazin M, Desfond P, Ozier Y, Margairaz A
Nouv Presse Med. 1982 Jan 9;11(1):29-33.
A retrospective study was carried out a group of 50 adult patients who had presented with acute respiratory distress syndrome and had all been treated by mechanically controlled ventilation with positive end-expiratory pressure (PEEP). The predictive value of the so-called "severity index" was tested. This index, which is used from the second day of treatment onward to predict with strong probability whether the lung lesions will subside or develop, is obtained from the PaO2 after corrections taking into account the FiO2 and the PEEP level. The study also supplied information on the outcome of lung lesions which may result in one of four possible courses of about equal frequency: the patient may either die or be cured rapidly after less than a week of assisted ventilation, or he may die at a later date or be cured slowly after more than a week of assisted ventilation.
对一组50例患有急性呼吸窘迫综合征且均接受呼气末正压（PEEP）机械控制通气治疗的成年患者进行了一项回顾性研究。测试了所谓“严重程度指数”的预测价值。该指数从治疗第二天起用于大概率预测肺部病变是否会消退或发展，它是在考虑了FiO2和PEEP水平后从校正后的PaO2得出的。该研究还提供了肺部病变结果的信息，这些病变可能导致四种频率大致相等的可能病程之一：患者可能在辅助通气不到一周后死亡或迅速治愈，或者可能在较晚时间死亡或在辅助通气超过一周后缓慢治愈。
