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成人型呼吸窘迫综合征(ARDS)是成人在受各种直接、间接肺损害因素作用后发生急性呼吸衰竭的常见原因,在儿科,年龄仅为2周的小儿,亦可见到与成人相同的此综合征。在美国,发病率为150,000例/年以上,儿童发病情况尚无确切统计,据报道约8.5～10.4例/1000 ICU住院病人。一、临床经过分四期:(1)急性损伤期ARDS如为创伤诱发,急性损伤期时间较为明确,如系氧中毒等所导致,则难以确定损伤时间。此期并无肺部或ARDS特殊征候,但可有通气过度、低碳酸血症、呼吸性硷中毒而PaO_2正
Adult respiratory distress syndrome (ARDS) is a common cause of acute respiratory failure in adults following various direct and indirect lung injury effects. In pediatric patients, who are only 2 weeks old, the same is true of adults Syndrome. In the United States, the incidence is more than 150,000 cases / year. There is no exact statistics on the incidence of children. About 8.5 to 10.4 cases / 1000 ICU hospitalized patients are reported. First, the clinical period after four phases: (1) acute injury ARDS if induced trauma, acute injury time is more clear, such as Department of oxygen poisoning caused, it is difficult to determine the injury time. This period there is no lung or ARDS special symptoms, but may have hyperventilation, hypocapnia, respiratory alkalosis and PaO_2 positive