ARDS柏林新定义.pptx

ARDS柏林新定义解读;主要内容;全世界ARDS的发生率;60 day mortality from ARDS network clinical trials from 1997 to 2009;严重肺部感染 胃内容物吸入 肺挫伤 脂肪栓塞 吸入有毒气体 淹溺 氧中毒 肺移植再灌注损伤;Diffuse alveolar damage;ARDS发病机制;ARDS的治疗策略;主要内容;;Why Is the Definition of Adult Respiratory Distress Syndrome Important?;ARDS定义的变迁;ARDS定义的变迁;DEFINITIONS OF ARDS;Lung Injury Score;ARDS定义的变迁;主要内容;How to define acute onset;AECC诊断标准的局限;AECC诊断标准的局限;An early PEEP/FIO2 trial identifies different degrees of lung injury in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med.?2007, 15;176(8): 795-804. ;氧合指数（PaO2/FiO2）的判定;胸片判断ARDS准确吗;气道压力和通气模式对胸片影响的影响;肺水肿的起因;肺水肿的起因;Comparison of clinical criteria for the acute respiratory distress syndrome with autopsy findings. Ann Intern Med.?2004 ;141(6):440-5. ;;主要内容;;AECC定义存在的局限性以及柏林定义的解决方案;AECC定义存在的局限性以及柏林定义的解决方案;ESIM 2011;The Berlin definition of Acute Lung Injury (working draft ）;JAMA, 2012 Jun 20;307(23):2526-33;Method;;Timing;低氧血症;兰州军区兰州总医院;兰州军区兰州总医院;Berlin标准的有效性;附加标准诊断重度ARDS有效性;The Berlin Definition of Acute Respiratory Distress Syndrome;The Berlin Definition——ARDS;主要内容;ARDS新定义的变化;;Limitations;An evidence-based approach to the management of ALI/ARDS;;Thank You !