摘要
溺水往往累积呼吸系统,若溺水患者并发ARDS将严重影响预后。国内外关于溺水并发ARDS的报道并不鲜见,笔者对我院诊治溺水并发ARDS患者临床资料进行分析后发现,部分溺水并发ARDS 的患者经积极治疗后病情一度有显著改善,但病程中再次出现肺部感染,诱发ARDS导致病情急剧恶化。本报道旨在分析此类溺水并发ARDS患者的病例特点,从而为临床就治疗溺水患者提供一定的参考。
出处
《临床肺科杂志》
2015年第7期1357-1358,共2页
Journal of Clinical Pulmonary Medicine
参考文献7
-
1ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. A- cute respiratory distress syndrome: the Berlin Definition [ J 1. JA- MA ,2012,307 (23) :2526 - 2533.
-
2Ender PT, Dolan MJ. Pneumonia associated with near-drowning [ J 1. Clin Infect Dis, 1997,25 (4) : 896 - 907.
-
3Tadi6 JM, Heming N, Serve E, et al. Drowning associated pneumo- nia : a descriptive cohort [ J ]. Resuscitation, 2012,83 ( 3 ) : 399 - 401.
-
4李培,曹鄂洪,赵蓓蕾,孙辉明,李渺苗,徐瑾,宋勇,施毅.溺水后侵袭性曲霉病三例并文献复习[J].中华结核和呼吸杂志,2011,34(9):657-662. 被引量:7
-
5Meersseman W, Lagrou K, Maertens J, et al. Galactomannan in bronchoaiveolar lavage fluid : a tool for diagnosing aspergillosis in intensive care unit patients[ J]. Am J Respir Crit Care Med ,2008, 177(1) :27 -34.
-
6Hsu LY, Ding Y, Phua J, et al. Galactomannan testing of bron- choalveolar lavage fluid is useful for diagnosis of invasive pulmona- ry aspergillosisin tlematology patients [ J ]. BMC Infect Dis, 2010, 10:44.
-
7Park SY, Lee SO, Choi SH, et al. Aspergillus galactomannan anti- gen assay in bronehoalveolar lavage for diagnosis of invasive pulmonary aspergillosis[ J]. J Infect,2010,61 (6) :492 -498.fluid.
二级参考文献33
-
1Golden FS,Tipton M J,Scott RC.Immersion,near.drowning and drowning.Br J Anaesth,1997,79:214-225.
-
2Ender PT,Dolan MJ.Pneumonia associated with near-drowning.Clin Infect Dis,1997,25:896-907.
-
3Hope WW,Walsh TJ,Denning DW.Laboratory diagnosis of invasive aspergillosis.Lancet Infect Dis,2005,5:609-622.
-
4Vieira DF,Van Saene HK,Miranda DR.Invasive pulmonary aspergillosis after near-drowning.Intensive Care Med,1984,10:203-204.
-
5ter MJC,Golding RP, Strack vSRJ, et al.Disseminated aspergillosis after near-drowning.Neth J Med,1995,47:21-24.
-
6Kowacs PA,de Almeida SM,Pinheiro RL,et al.Central nervous system Aspergillus fumigatus infection after near drowning.J Clin Pathol,2004,57:202-204.
-
7van DAP,Pruijm MT,Harinck BI,et al.Pneumonia involving Aspergillus and Rhizopus spp.after a near-drowning incident with subsequent Nocardia cyriacigeorgici and N.farcinica coinfection as a late complication.Eur J Clin Microbiol Infect Dis,2005,24:61-64.
-
8Leroy P,Smismans A,Seute T.Invasive pulmonary and central nervous system aspergillosis after near-drowning of a child:case report and review of the literature.Pediatrics,2006,118:e509-e513.
-
9Mizukane R,Sawatari K,Araki J,et al.Invasive pulmonary aspergillosis caused by aspiration of polluted water after nearly drowning.Kansenshogaku Zasshi,1996,70:1181-1185.
-
10Zhaag M,Zhou GJ,Wang XD,et al.Invasive pulmonary and central nervous system aspergillosis following slops aspiration in a trauma patient.Crit Care,2010,14:442.
共引文献6
-
1孙辉明,王永萍,袁冬梅,陈晨,陈菲,吴冠楠,徐小勇,赵蓓蕾.呼吸重症监护病房侵袭性肺曲霉病临床特点及预后分析[J].中国医师进修杂志,2018,41(12):1061-1066. 被引量:3
-
2L. Wang MD Y.-L. Cui MD J.-Y. Liu MD Z.-F. Lin MD D.-C. Chen MD.Pulmonary Mycosis Caused by Aspiration of Polluted Water after Near-Drowning: Case Reports and Literature Review[J].麻醉与监护论坛,2014,21(6):461-465.
-
3冯佩英,席丽艳.加强对新现临床真菌感染的认识[J].中华皮肤科杂志,2016,49(7):451-455. 被引量:10
-
4费广茹,孙宛君,王东升,徐晓玲,胡晓文.溺水后吸入性肺炎18例[J].中国感染与化疗杂志,2019,19(3):259-262. 被引量:4
-
5陆海强,张勇,吴立萍.溺水后呼吸衰竭13例诊治体会[J].中国乡村医药,2022,29(13):39-40.
-
6杨楠,代继宏.溺水后吸入性肺炎的研究进展[J].临床医学进展,2022,12(1):161-166.
同被引文献8
-
1何长林,张静,张琼,文勇.溺水后胸部的CT表现[J].医学影像学杂志,2011,21(5):664-665. 被引量:4
-
2罗群,陈荣昌.无创正压通气临床应用专家共识[J].中华结核和呼吸杂志,2009,32(2):86-98. 被引量:470
-
3王鹏,张利诚,张明,吴立新,金晓辉,黄贤,胡晓懿.无创与有创正压通气救治溺水后并发急性呼吸衰竭疗效比较[J].武警医学,2011,22(4):314-316. 被引量:2
-
4李培,曹鄂洪,赵蓓蕾,孙辉明,李渺苗,徐瑾,宋勇,施毅.溺水后侵袭性曲霉病三例并文献复习[J].中华结核和呼吸杂志,2011,34(9):657-662. 被引量:7
-
5钱娟.溺水致肺损伤的CT表现(附10例报告)[J].实用医学影像杂志,2011,12(6):362-363. 被引量:4
-
6蒋沫轩.3例溺水肺患者行CT扫描的结果报告[J].贵阳中医学院学报,2013,35(3):88-89. 被引量:1
-
7徐永举.溺水死亡的法医学鉴定研究[J].湖北警官学院学报,2014,27(1):179-180. 被引量:8
-
8王芳,陈亮.溺水肺多排螺旋CT三维重建技术显像1例[J].中国伤残医学,2015,23(17):101-102. 被引量:1
-
1孟鸿丽.1例电击伤伴溺水患者的护理[J].实用临床医学(湖北),2003,17(1):37-38.
-
2鲁宗臣,王莉,马晓莉.8例溺水患者的抢救[J].现代医药卫生,2002,18(7):595-595.
-
3张献怀,赵晓东.游泳溺水的预防和现场急救[J].健康博览,2010(6):22-23.
-
4袁璟喆.夏季溺水频发 学点急救知识[J].江苏卫生保健(今日保健),2015,0(8):25-25.
-
5陈鸣放.溺水患者的实验室急诊检查[J].中华临床医学杂志,2007,8(12):66-66.
-
6刘向东.重度溺水患者救治体会[J].中外医学研究,2011,9(29):47-48.
-
7胡彬,罗志锴,王建清.胸外按压30例潮气量改变[J].第四军医大学学报,2006,27(19):1772-1772. 被引量:3
-
8彭磊磊,于奇,刘永靖,缪军,陶宇,王平.成功救治1例溺水并发吸入性肺炎及急性呼吸窘迫综合征报道[J].安徽医药,2015,19(12):2363-2364. 被引量:4
-
9丁淑如.慢性肾衰65例急剧恶化因素分析[J].南通医学院学报,1995,15(2):264-265.
-
10冯雪茹.老年科都看什么病[J].老年健康,2009(4):10-11.