摘要
急性呼吸窘迫综合征(ARDS)在ICU里较为常见,救治较为困难,预后多不良。ARDS自1967年首次报道以来,得到了极其广泛的研究,而ARDS的定义也经历了数次修正。最新的定义为“柏林定义”,由于其未涉及ARDS的病理基础,影响了其对ARDS对因治疗中的指导意义,不同地区及不同专科对ARDS治疗的结果存在很大差异,使得研究者们远未停止关于ARDS定义的争议。笔者就ARDS定义的变迁及目前存在的争议进行综述,加深对本病的认识,为ARDS的救治提供新的思路。
Acute respiratory distress syndrome(ARDS),a common disease in ICU,is more difficult to treat with poor prognosis.Since it was described in 1967,the ARDS has been extensively studied,and the definition has undergone several revisions.The latest definition of ARDS is“Berlin Definition”,while the definition not associated with the pathological basis of ARDS has affected its guiding significance in the treatment of ARDS.Moreover there are significant distinctions in the results of ARDS treatment in different regions and specialties,making researchers far from stopping controversy over the definition of ARDS.The authors review the changes in the definition of ARDS and the existing controversies,hoping to deepen the understanding of the disease and bring new ideas for the treatment of ARDS.
作者
吴洪
毛青
Wu Hong;Mao Qing(Department of Neurosurgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2020年第8期761-765,共5页
Chinese Journal of Trauma
关键词
呼吸窘迫综合征
成人
缺氧
急性肺损伤
氧合指数
Respiratory distress syndrome,adult
Anoxia
Acute lung injuries
Oxygenation index
