中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2014年
11期
724-727
,共4页
急性呼吸窘迫综合征%治疗%儿童
急性呼吸窘迫綜閤徵%治療%兒童
급성호흡군박종합정%치료%인동
Acute respiratory distress syndrome%Treatment%Children
小儿急性呼吸窘迫综合征一直是儿科重症监护病房最为重要的疾病之一.本文介绍了急性呼吸窘迫综合征的柏林定义,较为全面地综述了小儿急性呼吸窘迫综合征的非机械通气治疗,包括注意避免各种易患因素、加强营养支持、注意坚持保守补液、探制输血指征及防止输血相关性肺损伤;对肺表面活性物质治疗、吸入一氧化氮及糖皮质激素的应用方面近年的进展作了简要介绍;提出在重症ARDS中应坚持俯卧位通气等.
小兒急性呼吸窘迫綜閤徵一直是兒科重癥鑑護病房最為重要的疾病之一.本文介紹瞭急性呼吸窘迫綜閤徵的柏林定義,較為全麵地綜述瞭小兒急性呼吸窘迫綜閤徵的非機械通氣治療,包括註意避免各種易患因素、加彊營養支持、註意堅持保守補液、探製輸血指徵及防止輸血相關性肺損傷;對肺錶麵活性物質治療、吸入一氧化氮及糖皮質激素的應用方麵近年的進展作瞭簡要介紹;提齣在重癥ARDS中應堅持俯臥位通氣等.
소인급성호흡군박종합정일직시인과중증감호병방최위중요적질병지일.본문개소료급성호흡군박종합정적백림정의,교위전면지종술료소인급성호흡군박종합정적비궤계통기치료,포괄주의피면각충역환인소、가강영양지지、주의견지보수보액、탐제수혈지정급방지수혈상관성폐손상;대폐표면활성물질치료、흡입일양화담급당피질격소적응용방면근년적진전작료간요개소;제출재중증ARDS중응견지부와위통기등.
Acute respiratory distress syndrome (ARDS) is one of the most severe disease in pediatric intensive care units.The purpose of this article is to introduce the Berlin's definition of ARDS and review the current knowledge base related to non-ventilator therapy in pediatric intensive care unit,including prevention of predisposing factor,nutrition therapy,conservative fluid therapy,transfusion and transfusion related acute lung injury,etc.The article also reviews the role of pulmonary surfactant,nitric oxide,prone position and glucocorticoid in pediatric ARDS.
