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新生儿急性呼吸窘迫综合征诊断标准的演变及思考

刘立婷 史源

解放军医学杂志2024,Vol.49Issue(3):245-251,7.
解放军医学杂志2024,Vol.49Issue(3):245-251,7.DOI:10.11855/j.issn.0577-7402.0467.2023.0717

新生儿急性呼吸窘迫综合征诊断标准的演变及思考

Evolution and considerations of diagnostic criteria for neonatal acute respiratory distress syndrome

刘立婷 1史源1

作者信息

  • 1. 重庆医科大学附属儿童医院新生儿科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童感染免疫重庆市重点实验室,重庆 400015
  • 折叠

摘要

Abstract

Since acute respiratory distress syndrome(ARDS)was firstly reported in 1967,the diagnostic criteria and classification standard have evolved continually.Neonatal ARDS has drawn increasing attention in recent years,while research on neonatal ARDS has proceeded slowly,partly because of ambiguity in the definitions and diagnostic criteria of neonatal ARDS.In this comment,we overview the application of the Berlin definition made in 2012,the Montreux definition made in 2017,and the definition of pediatric ARDS update by the Second Pediatric Acute Lung Injury Consensus Conference made in 2023(PALICC-2 definition)in neonatal ARDS,then compare the similarities and differences among the three definitions.Finally,the differences in classification standard,triggers,morbidity,mortality,poor prognosis,and treatment among the three definitions for neonatal ARDS were analyzed,and the research directions in the future of the definition for neonatal ARDS were proposed.

关键词

新生儿急性呼吸窘迫综合征/诊断标准/变迁

Key words

neonatal acute respiratory distress syndrome/diagnostic criteria/changes

分类

医药卫生

引用本文复制引用

刘立婷,史源..新生儿急性呼吸窘迫综合征诊断标准的演变及思考[J].解放军医学杂志,2024,49(3):245-251,7.

基金项目

This work was supported by the National Key Research and Development Program of China(2022YFC2704803) 国家重点研发计划(2022YFC2704803) (2022YFC2704803)

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