Tulleken J E, van der Werf T S, Ligtenberg J J, Zijlstra J G
Department of Internal Medicine, Groningen University Hospital, The Netherlands.
Neth J Med. 1998 Nov;53(5):201-6. doi: 10.1016/s0300-2977(98)00063-1.
When conventional respiratory strategies fail to maintain adequate oxygenation treatment of severe ARDS is largely empirical. Modern techniques such as inverse ratio ventilation, permissive hypercapnia, NO inhalation and lowering tidal volumes/pressures are advocated. We report on a patient with severe ARDS who showed all the complications of the disease. The risks and benefits of (non)conventional ventilatory strategies are discussed and illustrated.
当传统呼吸策略无法维持充分氧合时，重症急性呼吸窘迫综合征（ARDS）的治疗很大程度上是经验性的。目前提倡采用反比通气、允许性高碳酸血症、吸入一氧化氮以及降低潮气量/压力等现代技术。我们报告了一例患有重症ARDS且出现该疾病所有并发症的患者。文中讨论并阐述了（非）传统通气策略的风险与益处。
