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脉搏指示连续心输出量监测在治疗急性呼吸窘迫综合征患者中的应用 被引量：1

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摘要 急性呼吸窘迫综合征（adult respiratory distress syndrome,ARDS）是一种发生于严重感染、休克、创伤及烧伤等疾病过程中,由于患者肺毛细血管内皮细胞和肺泡上皮细胞损伤引起弥漫性肺间质及肺泡水肿,导致血管外肺水（extravascular lung water,EVLW）显著增加,以进行性低氧血症、呼吸窘迫为特征的临床综合征。
作者 张兰珍 郭蕾 王瑞丽 程碧环
机构地区 温州医科大学附属第二医院血液净化中心 温州医科大学附属第二医院重症医学科
出处 《中华危重症医学杂志（电子版）》 CAS 2015年第3期26-29,共4页 Chinese Journal of Critical Care Medicine:Electronic Edition
基金 浙江省自然科学基金项目(LY14H150011)
关键词 心输出量监测 血管外肺水 肺泡水肿 肺泡上皮细胞 临床综合征 DISTRESS 呼吸窘迫 低氧血症 肺间质 CRRT
分类号 R563.8 [医药卫生—呼吸系统]
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参考文献10

  • 1Rubenfeld GD, Caldwell E, Peabody E, et al. Ineide-nce and outcomes of acute lung injury. N Engl J Med, 2005, 353 (16): 1685-1693.
  • 2DiCar/o JV, Alexander SR, Agarwal R, et al. Continu- ous venvenous hemofiltration may improve survival from acute respiratory distress syndrome after bone marrow transplantation or chemotherapy [J]. J Pediatr Hematol Oncol, 2003, 25 (10): 801-805.
  • 3ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition[J]. JAMA, 2012, 307 (23): 2526-2533.
  • 4急性肺损伤/急性呼吸窘迫综合征诊断与治疗指南(2006)[J].中华内科杂志,2007,46(5):430-435. 被引量：232
  • 5Gattinoni L, Cressoni M, Brazzi L. Fluids in ARDS: from onset through recovery [J]. Curr Opin Crit Care, 2014, 20 (4): 373-377.
  • 6National Heart, Lung, and Blood Institute Acute Respi- ratory Distress Syndrome (ARDS) Clinical Trials Net- work, Wiedemann HP, Wheeler AP, et al. Comparison of two fluid-management strategies in acute lung injury [J]. N Engl J Med, 2006, 354 (24): 2564-2575.
  • 7Rajaram SS, Desai NK, Kalra A, et al. Puhnonary ar- tery catheters for adult patients in intensive care [J]. Cochrane Database Syst Rev, 2013 (2): CD003408.
  • 8Berkowltz DM, Danai PA, Eaton S, et al. Accurate c- haracterization of extravascular lung water in acute res- piratory distress syndrome[J]. Crit Care Med, 2008, 36 (6): 1803-1809.
  • 9Easley RB, Mulreany DG, Lancaster CT, et al. Redis- tribution of pulmonary blood flow impacts thermodilu- tion-based extravascnlar lung water measurements in a model of acute lung injury [J]. Anesthesiology, 2009, 111 (5): 1065-1074.
  • 10唐坎凯,温晓红,董朝晖,姚林华,徐巍,杨卿,陈志冬.急性呼吸窘迫综合征患者血管外肺水指数动态变化与预后的关系[J].中华危重症医学杂志（电子版）,2012,5(5):15-19. 被引量：21

二级参考文献19

  • 1Hudson E,Beale R. Lung water and blood volume measurements in the critically ill[J].Current Opinion in Critical Care,2000,(06):222-226.
  • 2Sakka SG,Klein M,Reinhart K. Prognostic value of extravascular lung water in critically ill patients[J].Chest,2002,(122):2080-2086.
  • 3Erikson SE,Martin GS,Davis JL. Recent trends in acute lung injury mortality:1996-2005[J].Critical Care Medicine,2009,(05):1574-1579.doi:10.1097/CCM.0b013e31819fefdf.
  • 4Seeley E,McAuley DF,Eisner M. Predictors of mortality in acute lung injury during the era of lung protective ventilation[J].Torax,2008,(11):994-998.
  • 5Zambon M,Vencent JL. Mortality rates for patients with acute lung injury / ARDS have decreased over time[J].Chest,2008,(05):1120-1127.doi:10.1378/chest.07-2134.
  • 6Bernard GR,Artigas A,Brigham KL. The American-European Consensus Conference on ARDS.Definitions.Mechanisms,relevant outcomes,and clinical trial coordination[J].American Journal of Respiratory and Critical Care Medicine,1994,(20):225-232.
  • 7邱海波;周韶霞.多器官功能障碍综征现代治疗[M]北京:人民军医出版社,2001.
  • 8Smetkin AA,Kuzkov VV,Suborov EV. Increased extravascular lung water reduces the efficacy of alveolar recruitment maneuver in acute respiratory distress syndrome[J].Crit Care Res Pract,2012.606528.
  • 9Chew MS,Ihrman L,During J. Extravascular lung water index improves the diagnostic accuracy of lung injury in patients with shock[J].Critical Care,2012,(01):R1.
  • 10Phillils CP,Chesnutt MS,Smith SM. Extravascular lung water in sepsis-associated acute respiratory distress syndrome:index with predicted body weight imoroves correlation with severity of illness and survival[J].Critical Care Medicine,2008,(01):69-73.

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中华危重症医学杂志（电子版）
2015年 第3期

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