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成人型小儿呼吸窘迫综合征(ARDS)儿科文献报导甚少,有人称其为“休克肺”,但这种病人并非在休克时才有这种情况。ARDS可与败血症、肺感染、多发外伤、肺挫伤、头外伤、濒临溺毙、氧中毒、骨折、休克、血凝异常、脑水肿和烟尘吸入等并发,这些病皆可见于儿科临床。本文拟叙述作者有关7例本症患儿经验;提供治疗及监护方面的指导;讨论ARDS现代概念及其在儿科的运用。
Pediatric respiratory distress syndrome (ARDS) pediatric literature rarely reported, some people call it “shock lung”, but this patient is not the only time in shock. ARDS can be associated with sepsis, pulmonary infections, multiple trauma, pulmonary contusion, head injury, drowned, oxygen poisoning, fractures, shock, hemagglutination, cerebral edema and smoke inhalation. These diseases are all seen in pediatric clinical practice. This article describes the author’s experience with seven patients with this disease; provides guidance on treatment and care; discusses the modern concept of ARDS and its use in pediatrics.