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![]() 急性呼吸窘迫综合征的诊治进展
相关领域
医学
急性呼吸窘迫综合征
胸片
重症监护医学
随机对照试验
低氧血症
重症监护室
呼吸窘迫
机械通风
内科学
肺
外科
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Question What advances in diagnosis and treatment of acute respiratory distress syndrome (ARDS) have been introduced in the last 5 years? Findings The diagnosis of ARDS is based on fulfilling the Berlin definition criteria for timing of the syndrome’s onset, origin of edema, chest radiograph findings, and hypoxemia. Few pharmacologic treatments are available and management remains supportive largely based on physiological approaches to lung-protective mechanical ventilation. Meaning The Berlin definition of ARDS addressed limitations from prior definitions but poor reliability of some criteria may contribute to underrecognition. Clinical guidelines can assist clinicians in the evidence-based use of 6 interventions related to mechanical ventilation and extracorporeal membrane oxygenation. |
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