休克肺一词系指在休克过程中,因非心源性广泛肺损伤所致的急性呼吸功能衰竭综合征,也称之为成人呼吸窘迫综合征(ARDS)。其基本病理变化是肺充血、间质水肿、肺泡水肿、出血、微血栓和肺泡内透明膜形成等。近年来随着治疗休克的进展,发现不少休克患者在血液动力学变化恢复后并发呼吸功能衰竭,因休克而死亡的患者中,有1/3 The term shock lung refers to the acute respiratory failure syndrome caused by extensive noncardiogenic lung injury during shock, also known as adult respiratory distress syndrome (ARDS). The basic pathological changes are pulmonary congestion, interstitial edema, alveolar edema, hemorrhage, micro-thrombosis and alveolar transparent membrane formation. In recent years, with the progress of the treatment of shock, found that many patients with shock in the recovery of hemodynamic changes after respiratory failure, death due to shock in patients with 1/3