中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
21期
2599-2603
,共5页
袁荆%吴敬医%于涛%鲁卫华
袁荊%吳敬醫%于濤%魯衛華
원형%오경의%우도%로위화
呼吸窘迫综合征, 成人%超声检查%诊断%治疗
呼吸窘迫綜閤徵, 成人%超聲檢查%診斷%治療
호흡군박종합정, 성인%초성검사%진단%치료
Respiratory distress syndrome,adult%Ultrasonography%Diagnosis%Therapy
急性呼吸窘迫综合征( ARDS)患者病死率高达27%~42%,是临床危重患者死亡的主要原因之一,早期诊断及有效治疗是降低病死率的重要措施。超声检查对ARDS患者肺脏病变的诊断具有较高的灵敏度,且具有无放射性、实时性、易于床边操作等优势。本文介绍了超声检查在ARDS诊疗中的应用原理、特殊影像学特征以及其对ARDS的诊断、鉴别诊断和治疗的价值,表明超声检查在ARDS患者的临床诊疗中扮演着愈来愈重要的角色,超声检查和其他诊断方法结合进行综合评估,也将使其在ARDS患者中的应用前景更加广阔。
急性呼吸窘迫綜閤徵( ARDS)患者病死率高達27%~42%,是臨床危重患者死亡的主要原因之一,早期診斷及有效治療是降低病死率的重要措施。超聲檢查對ARDS患者肺髒病變的診斷具有較高的靈敏度,且具有無放射性、實時性、易于床邊操作等優勢。本文介紹瞭超聲檢查在ARDS診療中的應用原理、特殊影像學特徵以及其對ARDS的診斷、鑒彆診斷和治療的價值,錶明超聲檢查在ARDS患者的臨床診療中扮縯著愈來愈重要的角色,超聲檢查和其他診斷方法結閤進行綜閤評估,也將使其在ARDS患者中的應用前景更加廣闊。
급성호흡군박종합정( ARDS)환자병사솔고체27%~42%,시림상위중환자사망적주요원인지일,조기진단급유효치료시강저병사솔적중요조시。초성검사대ARDS환자폐장병변적진단구유교고적령민도,차구유무방사성、실시성、역우상변조작등우세。본문개소료초성검사재ARDS진료중적응용원리、특수영상학특정이급기대ARDS적진단、감별진단화치료적개치,표명초성검사재ARDS환자적림상진료중분연착유래유중요적각색,초성검사화기타진단방법결합진행종합평고,야장사기재ARDS환자중적응용전경경가엄활。
The fatality rate of patients with acute respiratory distress syndrome ( ARDS) is 27%-42%, ARDS is one of the key reasons for death of severe patients, early diagnosis and effective treatment are important measures for reducing fatality rate.Ultrasonography has a relative high sensitivity for lung lesions among ARDS patients, and is a high sensitive, non -radioactive, realtime method, and can be operated easily beside the bed.The application principle of ultrasonography in diagnosis and treatment of ARDS, specific imaging features, the values of ultrasonography in diagnosis, differential diagnosis and treatment of ARDS are reviewed in the paper, the result indicates that ultrasonography is playing an increasingly important role in diagnosis and treatment of ARDS, ultrasonography combined with other diagnostic methods can be used to perform comprehensive evaluation, thus ultrasonography has a wide application prospect among ARDS patients.