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糖皮质类固醇(以下简称激素)在休克治疗中的作用已有大量报道,但许多实验研究缺乏对照,且临床研究很少,结果不一。败血症性休克并发成人呼吸窘迫综合征(ARDS)的死亡率可达90%。ARDS的诊断标准有5点:(1)进行性低氧血症、动脉血氧分压与吸入气氧分压的比率(PaO_2/PiO_2)小于0.21;(2)X线片示五叶肺都有浸润;(3)肺毛细血管楔压低于16mmHg;(4)全肺静态顺应性小于50ml/cmH_2O;(5)除外能引起上述表现的其他疾病如细菌性肺炎、肺挫伤、肺不张或尚未彻底治愈的左心衰竭。最近对休克和ARDS治疗中使
The role of glucocorticosteroids (hereinafter referred to as hormones) in the treatment of shock has been abundant, but many experimental studies lack of control, and few clinical studies, the results vary. Septic shock combined with adult respiratory distress syndrome (ARDS) mortality rate of up to 90%. There are 5 diagnostic criteria for ARDS: (1) progressive hypoxemia, the ratio of arterial partial pressure to partial pressure of inhaled oxygen (PaO 2 / PiO 2) is less than 0.21; (2) (3) pulmonary capillary wedge pressure less than 16mmHg; (4) the whole lung static compliance less than 50ml / cmH2O; (5) except for other diseases can cause the above performance such as bacterial pneumonia, pulmonary contusion, atelectasis or Not yet completely cured of left heart failure. Recently made on shock and ARDS treatment