张劲农甲流培训课件.ppt

甲型H1N1流感亚型重症的判断和治疗;流感肺炎;甲型H1N1流感-疑似病例 ;甲型H1N1流感-确诊病例 ;甲型H1N1流感-高危病例 ;ARDS危险因素及病死率;Age- and Risk-Specific Incidence of and Age-Specific Mortality from ALI;病毒性肺炎诊断依据;临床分类处理原则 ;鉴别诊断;甲型H1N1流感-治疗 ;甲型H1N1流感-其他治疗 ;重症病例医疗救治方案;ARDS的治疗;呼吸支持治疗-氧疗;呼吸支持治疗-无创正压人工通气;NIPPV常用的模式和相应参数;有创正压人工通气指征 ;有创正压人工通气方法;其他;抗病毒药物的分类;抗病毒药物的分类;奥司他韦-不良反应 ;病毒会增加细菌感染的危险吗？;ARDS正压通气治疗的历史;正常和ARDS肺静态压力-容积关系;机械通气时压力容积曲线;机械通气导致肺损伤;传统机械通气导致肺损伤机制;Gajic O et al. AJRCCM, 2003, 167: 1057-1063;病理改变;恒流定容通气的压力-时间曲线;ARDSnet研究低潮气容积和传统潮气容积通气分组;ARDSnet研究低潮气容积和传统潮气容积通气结果;ARDSnet研究低潮气容积和传统潮气容积通气对血浆IL-6水平的影响;液体保守策略;大量液体策略;Probability of Survival to Hospital Discharge and of Breathing without Assistance during the First 60 Days after Randomization;感染性疾病损伤模式;糖皮质激素临床应用剂量分类;Relative Potencies of Glucocorticoids to Produce Genomic and Non-specific Non-genomic Effects;大剂量皮质激素早期治疗ARDS无效;Moderate-dose methylprednisoloneand patients with persistent ARDS;Probability of Survival and the Proportion of Patients with Persistent ARDS Who Became Able to Breathe without Assistance during the First 180 Days;小结