呼吸危重症临床决策中的若干问题

Same Focus Problems about Critical Respiratory Disease in the Clinical Decisions

在临床实践中,呼吸危重症的诊断和治疗存在着一些不同的观点。就其中某些热点问题,如慢性阻塞性肺疾病合并哮喘的诊断和机械通气的指征、肺栓塞的诊断、急性呼吸窘迫综合征的治疗、呼吸重症监护病房的建设和呼吸危重症的伦理学问题进行阐述,以期提高对呼吸危重症的认识。

The diagnosis and treatment of critical respiratory disease have different viewpiont in our clinical practice. This article expounds some focus problems about critical respiratory disease, including the diagnosis of chronic obstructive pulmonary disease （COPD） complicated by asthma, the indication of mechanical ventilation of the patients with COPD, the diagnosis of pulmonary thromboembolism , the treatment of acute respiratory distress syndrome （ARDS）, the construction of respiratory intensive care unit （RICU） and ethic about critical respiratory disease. We expect the recognization will be increased about critical respiratory disease through these discuss.