ARDS与机械通气教材教学课件.ppt

急性呼吸窘迫综合征与机械通气;ARDS概念的转变;ARDS概念的转变;AECC诊断标准的局限;AECC诊断标准的局限;;Comparison of clinical criteria for the acute respiratory distress syndrome with autopsy findings. Ann Intern Med.?2004 Sep 21;141(6):440-5. ;AECC诊断标准的局限;Timing;胸部影像学改变;肺水肿的起因;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 Oct 15;176(8):795-804. ;;在（day1）时间点FiO2≥0.5 PEEP ≥10 30min条件下 分辨出的ARDS, ALI, ARF PaO2/FiO2的改善也截然不同。（p0.001）;其它附加指标;附加标准诊断重度ARDS有效性;The Berlin Definition;Berlin标准的有效性;新定义下ARDS病理特点;;; 柏林2012-ARDS