ARDS诊断——“柏林标准”的价值与意义.pdfVIP

圃，但会议:ARDS 的诊断与泊，于 医学与管学 201 2 年9 月1II 33 .ftlß 9BJI总第 46 1 期 ARDS 诊断 柏林标准 的价值与意义 杨毅① 摘要:急性呼吸窘迫综合征(ARDS) 病死率高，其早期准确的诊断是有效治疗的前提. 然而，当 翁 ARDS 诊断标准的准确性备受质疑，格床边:切需要使泼可靠严谨的诊断标准.柏林标准 从起病时间、氯合指数、精水肿的来源~胸部影像学*-.1;见四个方面对 ARDS 进行诊断，是既往 诊断标准的总结与延伸，共有效性，a_准确性已被证实，对于1烙床诊疗和科学研究有重大意义. 关键词:怠性呼吸窘迫综合征，诊断，柏林标准 中图分类号:R563.8 文献标识码:A 文章编号: 1002 - 0772 (2012)09-0010 - 03 Acute R臼piratoη Di童tr四 Syadrome: Berlia Defiaitlon YANG Yi. Department 01 Critical Care Medicine ,Nanjing Zhongda HosρÎtal ， Southeast University , Nanj ing 210009 . China Abstrad :Acute respiratory distress syndrome is associated with high mortality. It already be commonly conceded that early identification and diagnosis of ARDS be very crucial 10 following successful treatment. However , contemporary ARDS criteria have met many challenges and thus an integrated and precise definition was urgent- Iy needed for cl inical practice. The new Berlín ARDS definition inc1 udes 4 key components : timing , oxygenation index . or- igin of edema , chest imagines . and already be considered as summary and extend of previous standard. The validation and reliability of new definition have been verified and therefore would cast significàntl y influences on future clínical practices and scÎentific researches. Key Words : acute respiratory distress syndrome , d iagnose , Berlin definition 急性呼吸窘迫综合征(acute r e spiratory distress 透明膜形成。除非应用呼气末正压(PEEP) .患者的低 syndrome , ARDS) 是发生于感染、休克、创伤等疾病过 氧血症不能被吸氧等传统治疗手段纠正。之后，越来越 程中肺实质细胞损伤导致的临床综合征;以肺容积减 多的医生关注到此高发病率的临床综合征。