急诊学教学课件：Acute Respiratory Distress Syndrome.ppt

* ARDS lung 很多地方是塌陷的, decrease ventilator-Induced Lung Injury Over-extension and collapse 保护性通气策略可以防止肺泡的塌陷和过度扩张 for men： PBW = 50.0 + 0.91 (height in cm –152.4); for women：PBW = 45.5 + 0.91 (height in cm – 152.4). Artifical lung to give o2 and get Co2 out. * Management of ARDS consists of treating the underlying cause, lung-protective ventilation, conservative management of fluids, and ECMO. * And we will learn this syndrome today. Because we only have 15 minutes, we will discuss the diagnosis and treatment part next time. * Part 2. Etiology ARDS is caused by diffuse lung injury from many underlying medical and surgical disorders. The lung injury may be direct, as occurs in toxic inhalation, or indirect, as occurs in sepsis Direct Lung Injury Pneumonia Aspiration of gastric contents Pulmonary contusion Toxic inhalation injury Indirect Lung Injury Sepsis Severe trauma Multiple transfusions Pancreatitis * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung lobes have pulmonary contusion. * Blunt truma The lungs might also be bruised, called pulmonary contusion. The darker areas of these lung l