2023版"儿童急性呼吸窘迫综合征诊断及管理指南(第2版)"解读

Interpretation of the 2023"executive summary of the second international guidelines for the diagnosis and management of pediatric acute respiratory distress syndrome"

儿童急性呼吸窘迫综合征(PARDS)在儿科重症监护室中较为常见,严重威胁儿童生命健康。PARDS的规范诊断和管理非常重要,临床医师对PARDS认识不足可能会延误诊治,进而疾病进展加重导致不可逆的肺损伤等严重后果。第2届儿童急性肺损伤共识会议(PALICC-2)更新了PARDS的诊断及管理指南。现围绕PALICC-2中有关PARDS的定义、诊断、管理策略等方面进行重点解读,供临床参考,以期提高儿科医师对PARDS的规范诊断及管理水平。

Pediatric acute respiratory distress syndrome(PARDS)is a common clinical syndrome in pediatric intensive care unit,and a serious threat to children′s life health.The standardized diagnosis and management of PARDS is very important.Insufficient understanding of PARDS by clinical physician may delay diagnosis and treatment,worsen disease progression,and lead to serious consequences such as irreversible lung injury.The diagnosis and management guidelines for PARDS has been updated in The Second Pediatric Acute Lung Injury Consensus Conference(PALICC-2).This article focuses on the definition,diagnosis,management strategies,and other aspects of PARDS in PALICC-2 for clinical reference,in order to improve the standardized diagnosis and management level of pediatric physicians for PARDS.