糖皮质激素在重症社区获得性肺炎致急性呼吸窘迫综合征综合救治中价值探讨.pdf

2003 11 15 11 669 宋志芳, 郭晓红, 王树云, 谢　伟, 殷　娜, 张　悦, 单慧敏, 李文华 ( ICU , 200092) : : ( GC) ( SCA P) ( AR DS) : 2000 5 2003 2 SCAP A RD S ICU , ( AP A CHE ) ( PaO 2/ F iO 2) ( Qs/ Qt ) ( P EEP ) ICU , : 24 , 7 , 5 GC G C ( 7 1 4% ) , 2 ( 28 6 % ) , A RDS( ) ( M OD S) ; G C 17 , 5 ( 29 4% ) , 12 ( 70 6 % ) , M OD S( 6 , 75 0 % ) , A RD S ( 1 , 12 5% ) ( 0 05) , / / , ( 0 001) : P P aO 2 FiO2 Qs Qt P GC SCA P A RDS , : ; ; ; ; : R 563 1; R365; R969 : A : 1003 0603( 200 3) 11 0 669 06 Evaluation of glucocorticoid in treatment for patients with acute respiratory distress syndrome as a result of serious community acquired pneumonia S ON G Zhi f ang , GUO X iao hong , WA N G Shu y un, X I E Wei, YI N N a, ZH A N G Yue, S H A N H ui min, L I Wen hua M ed ical I nten iv e Care Unit, X inhua H o p ital, T he Second M edical Univer ity of S hanghai , Shanghai 200092, China Abstract: Objective: T o evalu ate the usag e of g lu coco rtico id ( GC) in treat m ent f or p atient s w it h acute resp ir ator y distr ess syndro m e ( A RD S) r esulting fr om ser io u s community acquired pneumo nia ( SCA P ) Methods: T he clinical data fr om al