重症肺炎就是ARDS吗?OACSTPCD
Is severe pneumonia ARDS?
急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)是在严重感染、休克、创伤及烧伤等疾病过程中导致的急性低氧性呼吸功能不全,容易与重症肺炎合并低氧血症和重症新型冠状病毒肺炎等疾病相混淆.本文就ARDS的概念、发病机制、病理改变、病理生理以及定义进行了论述,并与重症肺炎合并低氧血症和重症新型冠状病毒肺炎的临床表现等异同进行深入的分析和解读.
The acute respiratory distress syndrome(ARDS)is an acute hypoxic respiratory insufficiency caused by severe infection,shock,trauma and burns.It is easily confused with severe pneumonia combined with hypoxemia and severe COVID-19 pneumonia.In this paper,the concept,pathogenesis,pathological changes,pathophysiology and definition of ARDS were discussed,and the similarities and differences between ARDS and severe pneumonia combined with hypoxemia or severe COVID-19 pneumonia were analyzed and conducted in-depth interpretation.
何权瀛
北京大学人民医院呼吸与危重症医学科,北京 100044
临床医学
急性呼吸窘迫综合征重症肺炎病理生理
Acute respiratory distress syndromeSevere pneumoniaPathophysiology
《内科理论与实践》 2024 (1)
19-24,6
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