ARDS患者的肺复张-nursing.pptxVIP

ALI/ARDS的定义ALI急性起病胸片对称的侵润影PaO2/FiO2 ? 300 mmHgPAWP ? 18 mmHg或没有左心衰的证据ARDS急性起病胸片对称的侵润影PaO2/FiO2 ? 200 mmHgPAWP ? 18 mmHg或没有左心衰的证据第二页，共三十九页。 ARDS肺部形态学的改变Puybasset L, et al. Regional distribution of gas and tissue in acute respiratory distress syndrome. I. Consequences for lung morphology. Intensive Care Med 2000; 26: 857-69.第三页，共三十九页。 ARDS肺部形态学的改变ARDS患者健康对照CT平均密度(HU)-256 ? 21-654 ? 8组织容积(ml/m2 BSA)31.6 ? 1.716.7 ? 0.8气体容积(ml/m2 BSA)11.5 ? 1.232.2 ? 1.8胸腔内总容积(ml/m2 BSA)43.0 ? 2.349.0 ? 2.5Gattinoni L, et al. Relationships between lung computed tomographic density, gas exchange and PEEP in acute r