摘要
自从1994年欧美共识会议急性呼吸窘迫综合征被提出以来,其局限性逐渐地被认识到。因此,2012年提出了ARDS柏林标准,对发病时机和合并心源性肺水肿的情况进行了详细的解释。但是,柏林标准仍采用氧合指数判断氧合障碍的严重程度,因此可能受到吸入氧浓度的影响。另外,尚无证据说明胸片数据库有助于改善影像学诊断的准确性和一致性。
Since the publication of American-European Consensus Conference （AECC） definition of acute respiratory distress syndrome （ARDS） in 1994, the limitations of the AECC definition were recognized. In 2012, the Berlin definition of ARDS was published, specifying the acute time frame, and creating illustrative vignettes to guide judgments about the primary cause of respiratory failure. However, the Berlin definition still classified the severity of oxygenation impairment by oxygenation index, which might be subject to the influence of inspired fraction of oxygen. In addition, there is no evidence that the reference set of chest radiographs helps to enhance inter-observer reliability.
出处
《首都医科大学学报》
CAS
2013年第2期201-203,共3页
Journal of Capital Medical University
关键词
急性呼吸窘迫综合征
诊断标准
定义
acute respiratory distress syndrome
diagnostic criteria
definition
