摘要
急性肺损伤(ALI)和ARDS的特征改变是非心源性的肺水肿。几十年对这类患者液体管理是一个十分棘手的难题。目前趋向于两种液体管理策略,即非限制性液体管理策略或限制性或保守性液体管理策略。FACTT研究发表提供了ALI/ARDS管理的迄今最新的、最重要的证据,倾向限制性液体管理策略,但是孰是孰非尚未定论,还有很大争议,需要更多的研究、探索。
Patient with acute lung injury （ALI ） and acute respiratory distress syndrome （ ARDS） have noneardiogenic pulmonary edema as a hallmark of their disease process. Intravenous fluid management in these patients thus pose import challenges. Now, there are two main strategies in fashion , namely, liberal strategy or conservative strategy. Results of Fluid and Catheter Therapy Trial（ FACTT） that have been released last year are considered as important findings or evidence to support conservative strategy that will benefit patients with ALI/ARDS, Howoever , this conclusion will not be reached before more and more strong evidence cumulated.
出处
《医学与哲学（B）》
2007年第2期12-13,51,共3页
Medicine & Philosophy(B)
