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儿科急症学是目前迅速进展的现代儿科学之一,成人型呼吸窘迫综合征(ARDS)在儿科领域中并非罕见。由于ARDS诊疗问题涉及面甚广,现就其诊断及呼吸管理方面的观点,分述如下。 一、小儿ARDS的概念ARDS系Petty于1971年提出,认为是外伤、休克、重症感染等因素诱发下所出现的严重呼吸衰竭的总称,大多需要人工呼吸洽疗。但迄今尚无统一诊断标准,且其定义也因人而异。其病理基础为肺微血管内皮细胞的弥漫性损害,致使血管通透性增加,纤维蛋白、炎症细胞及损害性活性物质从血管内逸出,导致肺组织障
Pediatric Emergency Medicine is one of the most rapidly developing modern pediatrics. Adult respiratory distress syndrome (ARDS) is not uncommon in pediatrics. Due to the wide range of ARDS diagnosis and treatment problems, the following are the points of view on diagnosis and management of respiratory diseases. First, the concept of ARDS pediatric ARDS Petty was proposed in 1971, considered to be trauma, shock, severe infection and other factors induced by severe respiratory failure, the general term, most of the need for artificial respiratory consultation. But so far there is no uniform diagnostic criteria, and its definition varies from person to person. Its pathological basis for the diffuse damage of pulmonary microvascular endothelial cells, resulting in increased vascular permeability, fibrin, inflammatory cells and harmful substances escape from the blood vessels, leading to lung tissue barrier