Levy P C, Utell M J, Sickel J Z, Apostolakos M J
Pulmonary and Critical Care Unit, Strong Memorial Hospital, Rochester, NY 14642, USA.
Compr Ther. 1995 Aug;21(8):438-44.
Management of patients in ARD remains a complex diagnostic and difficult therapeutic problem. Although the authors have focused on several new and exciting management strategies, it is important to recognize that the vast majority of patients with ARDS simply require meticulous general medical care. In this era of invasive monitoring and other care. In this era of invasive monitoring and other complex technologies, there is sometimes a tendency to neglect the basic issues such as judicious use of antibiotics to avoid superinfection with resistant organisms or antibiotic-associated diarrhea; removal of unnecessary intravenous lines to minimize line related infections; and maintenance of adequate nutrition to promote good skin and mucosal integrity as well as preserving important muscle mass all too often receive a low priority. It is anticipated that with meticulous general medical care, as well as selective implementation of the above treatment strategies, improvement in the outcome of patients is an achievable goal.
急性呼吸窘迫综合征（ARDS）患者的管理仍然是一个复杂的诊断难题和棘手的治疗问题。尽管作者们专注于几种新的、令人兴奋的管理策略，但必须认识到，绝大多数ARDS患者仅仅需要精心的一般医疗护理。在这个有创监测和其他护理手段的时代。在这个有创监测和其他复杂技术的时代，有时会倾向于忽视一些基本问题，比如合理使用抗生素以避免耐药菌的二重感染或抗生素相关性腹泻；拔除不必要的静脉输液管以尽量减少与输液管相关的感染；维持充足的营养以促进良好的皮肤和黏膜完整性以及保持重要的肌肉量，而这些往往得不到应有的重视。预计通过精心的一般医疗护理以及选择性地实施上述治疗策略，改善患者的预后是一个可以实现的目标。
