Adult respiratory distress syndrome: definition and historical perspective.
Adult respiratory distress syndrome: definition and historical perspective.
复制标题
成人呼吸窘迫综合征：定义和历史观点。
作者：
Petty Tl
成人呼吸窘迫综合征是肺对各种严重的直接或间接肺损伤的反应。它的特点是急性呼吸窘迫，严重低氧血症需要高氧分数，和“僵硬的肺”需要的方法，以急救管理引用在这个问题的临床胸部医学。增加的分流分数和死腔通气和无空气的肺与碎片和透明膜是该综合征的标志，即使最后的共同途径，即，其机制尚不清楚。ARDS的表征创造了一个重要的病理概念，有一个有组织的方法，以生理为导向的管理。管理的细节在本期其他地方引用。
The adult respiratory distress syndrome is a reaction of the lung to a variety of severe direct or indirect pulmonary insults. It is characterized by acute respiratory distress, severe hypoxemia requiring high oxygen fractions, and "stiff lungs" requiring approaches to ventilatory management cited elsewhere in this issue of Clinics in Chest Medicine. Increased shunt fraction and dead space ventilation and airless lungs with debris and hyaline membranes are hallmarks of the syndrome, even though the final common pathway, i.e., the mechanism, is not known. The characterization of ARDS creates an important pathological concept for which there is an organized approach to physiologically oriented management. Details of management are cited elsewhere in this issue.