Shank J C, Latshaw R F
Am Fam Physician. 1980 Feb;21(2):107-14.
Adult respiratory distress syndrome is a type of acute respiratory insufficiency which is preceded by a variety of serious illnesses. The radiologic appearance ranges from scattered densities early in the course to complete consolidation later. Protein and water leak into the interstitium and alveoli. There is right-to-left circulatory shunting with profound hypoxia. Treatment generally includes intubation, suctioning, oxygen and mechanical ventilation with positive end-expiratory pressure. Diuretics and methylprednisolone may also be used.
成人呼吸窘迫综合征是一种急性呼吸功能不全,常继发于多种严重疾病。其影像学表现从病程早期的散在密度影到后期的完全实变。蛋白质和水漏入间质和肺泡。存在右向左的循环分流并伴有严重缺氧。治疗通常包括插管、吸痰、给氧以及呼气末正压通气的机械通气。也可使用利尿剂和甲基强的松龙。