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2.\u80ba\u6ce1\u6027\u80ba\u6c34\u80bf<\/p>\n

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3.\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u7684\u5206\u5e03<\/p>\n

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\u80ba\u6c34\u80bf\u7684\u5f02\u5e38\u6709\u65f6\u53ef\u5448\u6563\u5728\u6591\u7247\u6837\u6216\u5c0f\u53f6\u72b6\u5206\u5e03\uff0c\u5728\u4e00\u4e9b\u75c5\u4f8b\u4e2d\uff0c\u80ba\u6c34\u80bf\u53ef\u5448\u975e\u5bf9\u79f0\u6027\u5206\u5e03\uff0c\u5bfc\u81f4\u975e\u5bf9\u79f0\u6216\u5c40\u9650\u6027\u80ba\u6c34\u80bf\u7684\u539f\u56e0\u5982\u4e0b\u6240\u8ff0\u3002<\/p>\n

\uff081\uff09\u60a3\u8005\u4f53\u4f4d\uff1a\u80ba\u6c34\u80bf\u53ef\u7531\u4e8e\u91cd\u529b\u6548\u5e94\u53d1\u751f\u4e8e\u80ba\u4e0b\u5782\u533a\u3002\u60a3\u8005\u7684\u4f53\u4f4d\u53ef\u5f71\u54cd\u80ba\u6c34\u80bf\u7684\u53d1\u751f\u90e8\u4f4d\u3002\u5982\u53f3\u80ba\u6c34\u80bf\u53ef\u89c1\u4e8e\u7761\u7720\u65f6\u53d6\u53f3\u4fa7\u5367\u4f4d\u7684\u60a3\u8005\u3002<\/p>\n

\uff082\uff09\u975e\u5bf9\u79f0\u7684\u80ba\u6c14\u80bf\uff0f\u80ba\u5927\u5e96\u75be\u75c5\uff1a\u80ba\u6c14\u80bf\uff0c\u7279\u522b\u662f\u5408\u5e76\u80ba\u5927\u75b1\u65f6\uff0c\u53ef\u4e3a\u975e\u5bf9\u79f0\u6027\u3002\u6c34\u80bf\u4e3b\u8981\u4f4d\u4e8e\u65e0\u80ba\u6c14\u80bf\u7684\u533a\u57df\uff0c\u4e14\u5728\u5bf9\u4fa7\u66f4\u4e3a\u4e25\u91cd\u3002<\/p>\n

\uff083\uff09\u4e8c\u5c16\u74e3\u53cd\u6d41\uff1a\u5c40\u9650\u6027\u53f3\u80ba\u4e0a\u53f6\u80ba\u6c34\u80bf\u5e38\u53d1\u751f\u4e8e\u4e8c\u5c16\u74e3\u53cd\u6d41\uff0c\u7279\u522b\u662f\u5f53\u4f34\u6709\u5fc3\u808c\u6897\u6b7b\u540e\u6025\u6027\u4e73\u5934\u808c\u65ad\u88c2\u65f6\u3002\u53cd\u6d41\u7684\u8840\u6db2\u76f4\u63a5\u55b7\u5c04\u5165\u53f3\u4e0a\u80ba\u9759\u8109\u3002<\/p>\n

\uff084\uff09\u80ba\u6813\u585e\u6216\u8840\u7ba1\u95ed\u585e\uff1a\u5728\u80ba\u6813\u585e\u6216\u5176\u4ed6\u539f\u56e0\u6240\u81f4\u7684\u80ba\u52a8\u8109\u95ed\u585e\u4e2d\uff0c\u80ba\u6c34\u80bf\u4e3b\u8981\u53d1\u751f\u4e8e\u704c\u6ce8\u826f\u597d\u7684\u80ba\u90e8\u533a\u57df\uff0c\u53ef\u5448\u6563\u5728\u6591\u7247\u6837\u5206\u5e03\u3002<\/p>\n

\uff085\uff09\u795e\u7ecf\u6e90\u6027\u80ba\u6c34\u80bf\uff1a\u80ba\u6c34\u80bf\u5c11\u89c1\u7684\u5206\u5e03\u5f62\u5f0f\u53ef\u89c1\u4e8e\u5916\u4f24\u3001\u51fa\u8840\u6216\u766b\u75eb\u7684\u9885\u5185\u5f02\u5e38\u60a3\u8005\u3002\u5176\u786e\u5207\u7684\u53d1\u75c5\u673a\u5236\u4ecd\u7136\u4e0d\u592a\u6e05\u695a\uff0c\u5e38\u89c1\u4e8e\u65e0\u5fc3\u810f\u75be\u75c5\u7684\u60a3\u8005\u3002\u7ea650%\u60a3\u8005\u8868\u73b0\u4e3a\u5c40\u9650\u6027\u3001\u53cc\u80ba\u4e0a\u53f6\u5f02\u5e38\uff0c\u5176\u4f59\u75c5\u4f8b\u4e0e\u5176\u4ed6\u75c5\u56e0\u6240\u81f4\u7684\u80ba\u6c34\u80bf\u96be\u4ee5\u9274\u522b\u3002\u9634\u5f71\u53ef\u8fc5\u901f\u4ece\u4e00\u4e2a\u80ba\u533a\u79fb\u81f3\u53e6\u4e00\u4e2a\u80ba\u533a\uff0c\u8be5\u7279\u5f81\u4e0d\u5e38\u89c1\u4e8e\u5176\u4ed6\u75c5\u56e0\u6240\u81f4\u7684\u80ba\u6c34\u80bf\u3002<\/p>\n<\/p>\n

\u4e0d\u5bf9\u79f0\u6027\u80ba\u6c34\u80bf\u3002\u867d\u7136\u80ba\u6c34\u80bf\u5e38\u4e3a\u5bf9\u79f0\u6027\u8868\u73b0\uff0c\u4f46\u662f\uff0c\u5355\u4fa7\u6216\u4e0d\u5bf9\u79f0\u6027\u80ba\u6c34\u80bf\u4e5f\u4e0d\u5c11\u89c1\u3002\u672c\u4f8b\u60a3\u8005\u5728\u624b\u672f\u8fc7\u7a0b\u4e2d\u53d6\u53f3\u4fa7\u5367\u4f4d\uff0c \u56e0\u6b64HRCT\u663e\u793a\u53f3\u4fa7\u80ba\u6c34\u80bf\uff0c\u8868\u73b0\u4e3a\u6563\u5728\u7684GGO\u548c\u94fa\u8def\u77f3\u5f81\u3002<\/p>\n

4.\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u7684\u9274\u522b\u8bca\u65ad<\/p>\n

\u5728\u6025\u6027\u671f\uff0c\u80ba\u6c34\u80bf\u662f\u5f15\u8d77\u5b64\u7acb\u7684\u5c0f\u53f6\u95f4\u9694\u5e73\u6ed1\u589e\u539a\u4e0e\u652f\u6c14\u7ba1\u8840\u7ba1\u5468\u56f4\u95f4\u8d28\u589e\u539a\u7684\u6700\u5e38\u89c1\u75c5\u56e0\u3002\u80bf\u7624\u6cbf\u6dcb\u5df4\u7ba1\u64ad\u6563\u662f\u8be5\u5f02\u5e38\u8868\u73b0\u7684\u53e6\u4e00\u75c5\u56e0\uff0c\u4f46\u540e\u8005\u5e38\u6709\u5df2\u77e5\u7684\u6076\u6027\u80bf\u7624\u75c5\u53f2\u6216\u6162\u6027\u8fdb\u5c55\u6027\u75c7\u72b6\u3002\u80bf\u7624\u7684\u6dcb\u5df4\u7ba1\u64ad\u6563\u5e38\u5f15\u8d77\u5355\u4fa7\u6216\u4e0d\u5bf9\u79f0\u6027\u80ba\u6c34\u80bf\uff0c\u800c\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u5e38\u5448\u5bf9\u79f0\u6027\u3002<\/p>\n

\u975e\u5b64\u7acb\u6216\u4f5c\u4e3a\u4e3b\u8981\u5f02\u5e38\u8868\u73b0\u7684\u5c0f\u53f6\u95f4\u9694\u589e\u539a\u65e0\u7279\u5f02\u6027\uff0c\u65e0\u52a9\u4e8e\u9274\u522b\u8bca\u65ad\u3002\u90e8\u5206\u95f4\u9694\u589e\u539a\u53ef\u89c1\u4e8e\u591a\u79cd\u80ba\u90e8\u75be\u75c5\u3002<\/p>\n

\u652f\u6c14\u7ba1\u8840\u7ba1\u5468\u56f4\u95f4\u8d28\u589e\u539a\u5bb9\u6613\u4e0e\u652f\u6c14\u7ba1\u708e\u6240\u81f4\u7684\u652f\u6c14\u7ba1\u58c1\u589e\u539a\u76f8\u6df7\u6dc6\u3002\u5f53\u5b58\u5728\u9ecf\u6db2\u5d4c\u585e\u6216\u7ba1\u8154\u72ed\u7a84\u65f6\uff0c\u652f\u6c14\u7ba1\u708e\u662f\u6700\u53ef\u80fd\u7684\u75be\u75c5\u3002<\/p>\n<\/p>\n

\u547c\u5438\u9053\u75be\u75c5\u60a3\u8005\u7684\u547c\u5438\u9053\u58c1\u589e\u539a\u3002\u547c\u5438\u9053\u58c1\u589e\u539a\u53ef\u80fd\u7c7b\u4f3c\u4e8e\u652f\u6c14\u7ba1\u8840\u7ba1\u5468\u56f4\u7684\u6db2\u4f53\u805a\u79ef\u3002\u5f53\u5b58\u5728\u547c\u5438\u9053\u7ba1\u8154\u72ed\u7a84\u65f6\uff08\u7bad\uff09\uff0c\u652f\u6c14\u7ba1\u58c1\u589e\u539a\u662f\u6700\u53ef\u80fd\u7684\u539f\u56e0\u3002<\/p>\n

\u5728\u6025\u6027\u53d1\u75c5\u65f6\uff0cGGO\u548c\u5b9e\u53d8\u662f\u975e\u7279\u5f02\u6027\u8868\u73b0\uff0c\u53ef\u89c1\u4e8e\u611f\u67d3\u3001\u8bef\u5438\u3001\u6025\u6027\u80ba\u635f\u4f24\uff3b\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24(DAD)]\u548c\u80ba\u51fa\u8840\u3002\u8bca\u65ad\u4e3b\u8981\u4f9d\u636e\u4e34\u5e8a\u8868\u73b0\u800c\u4e0d\u662fHRCT\u5f81\u8c61\u3002\u7136\u800c\uff0c\u5f53GGO\u4f34\u6709\u660e\u663e\u7684\u5c0f\u53f6\u95f4\u9694\u5e73\u6ed1\u589e\u539a\u65f6\uff0c\u80ba\u6c34\u80bf\u662f\u6700\u53ef\u80fd\u7684\u8bca\u65ad\u3002<\/p>\n

3.\u4e0d\u4f34\u6709\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24\u7684\u6e17\u900f\u6027\u589e\u5927\u578b\u80ba\u6c34\u80bf<\/p>\n

   <\/h2>\n

\u6bdb\u7ec6\u8840\u7ba1\u5185\u76ae\u635f\u4f24\u5bfc\u81f4\u7684\u6bdb\u7ec6\u8840\u7ba1\u6e17\u900f\u6027\u589e\u5927\uff0c\u53ef\u5f15\u8d77\u6e17\u900f\u6027\u589e\u5927\u578b\u80ba\u6c34\u80bf\u3002\u901a\u5e38\u4e0e\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24(DAD)\u4f34\u53d1\u3002\u4e0d\u4f34\u6709DAD\u7684\u6e17\u900f\u6027\u589e\u5927\u578b\u80ba\u6c34\u80bf\u4e0d\u5e38\u89c1\uff0c\u5e38\u4e0e\u836f\u7269\u3001\u8f93\u8840\u53cd\u5e94\u3001\u4e2d\u6bd2\u6027\u4f11\u514b\u7efc\u5408\u5f81\u3001\u7a7a\u6c14\u6813\u585e\u548c\u6c49\u5766\u75c5\u6bd2\u80ba\u75c5\u7efc\u5408\u5f81\u7b49\u76f8\u5173\u3002\u5176HRCT\u8868\u73b0\u4e0e\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u7684\u5c0f\u53f6\u95f4\u9694\u5e73\u6ed1\u589e\u539a\u548cGGO\u6781\u4e3a\u76f8\u4f3c\u3002<\/p>\n

4.\u4f34\u6709\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24\uff08\u6025\u6027\u80ba\u635f\u4f24\uff09\u7684\u6e17\u900f\u6027\u589e\u5927\u578b\u80ba\u6c34\u80bf<\/p>\n

    <\/h2>\n

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\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24(DAD)\u7684HRCT\u8868\u73b0\uff08\u88688-2)\u4e0e\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u7684\u8868\u73b0\u5927\u81f4\u76f8\u4f3c\uff0c\u4f46\u4e5f\u5b58\u5728\u4e00\u4e9b\u4e0d\u540c\u3002\u5f25\u6f2b\u6027\u6216\u5bf9\u79f0\u6027\u5b9e\u53d8\u548cGGO\u662f\u6700\u5177\u7279\u5f81\u7684\u8868\u73b0\u3002\u5728DAD\u65e9\u671f\uff0c\u80ba\u90e8\u5f02\u5e38\u53ef\u89c1\u80ba\u5916\u5468\u5206\u5e03\uff0c\u4f46\u6700\u7ec8\u53d1\u5c55\u4e3a\u5f25\u6f2b\u6027\u4e14\u76f8\u4e92\u878d\u5408\u7684\u75c5\u53d8\uff0c\u5e38\u8868\u73b0\u4e3a\u7531\u524d\u5411\u540e\u6e10\u53d8\u7684\u9ad8\u5bc6\u5ea6\u5f71\uff0c\u5373\u80ba\u524d\u90e8\u4e3a\u63a5\u8fd1\u6b63\u5e38\u7684\u8868\u73b0\uff0c\u800c\u80ba\u540e\u90e8\u8868\u73b0\u4e3a\u81f4\u5bc6\u5b9e\u53d8\u3002\u65e0\u5c0f\u53f6\u95f4\u9694\u589e\u539a\u662f\u5176\u7279\u5f81\u8868\u73b0\u3002<\/p>\n<\/p>\n

\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24\u5bfc\u81f4\u7684\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81(ARDS)\u7684\u5178\u578b\u8868\u73b0\u3002\u672c\u4f8b\u4e3a\u8d25\u8840\u75c7\u60a3\u8005\uff0cHRCT\u663e\u793a\u5f25\u6f2b\u6027\u5b9e\u53d8\u548cGGO,\u867d\u7136\u4e3a\u975e\u7279\u5f02\u6027\uff0c\u5374\u662fDAD\u548cARDS\u7684\u5178\u578b\u8868\u73b0\u3002\u6ce8\u610f\uff1a\u80ba\u5916\u5468\u548c\u80ba\u4e0b\u5782\u533a\u53d7\u7d2f\u66f4\u4e3a\u4e25\u91cd\u3002<\/p>\n

DAD\u5e38\u4e0e\u673a\u5316\u6027\u80ba\u708e(OP)\u5e76\u5b58\u3002\u5f53\u5b58\u5728\u663e\u8457\u7684OP\u65f6\uff0c\u6563\u5728\u7684\u5c40\u7076\u6027\u5b9e\u53d8\u53ef\u80fd\u4f34\u6709DAD\u7684\u5176\u4ed6\u5f71\u50cf\u8868\u73b0\u3002\u975e\u80ba\u90e8\u539f\u56e0\uff08\u7cfb\u7edf\u6027\u75be\u75c5\uff0c\u5982\u8d25\u8840\u75c7\uff09\u5f15\u8d77\u7684DAD,\u5728HRCT\u4e0a\u5e38\u8868\u73b0\u4e3a\u53cc\u80ba\u5bf9\u79f0\u6027\u9ad8\u5bc6\u5ea6\u5f71\u3002\u80ba\u90e8\u539f\u56e0\uff08\u5982\u80ba\u708e\uff09\u5f15\u8d77\u7684DAD,\u5178\u578b\u8868\u73b0\u4e3a\u975e\u5bf9\u79f0\u6027\u6216\u5c40\u7076\u6027\u5f02\u5e38\u3002<\/p>\n

\u5c3d\u7ba1DAD\u7684HRCT\u8868\u73b0\u4e3a\u975e\u7279\u5f02\u6027\uff0c\u4f46\u5176\u968f\u65f6\u95f4\u7684\u6f14\u53d8\u5177\u6709\u7279\u5f81\u6027\u3002\u57281~3\u5468\u5185\uff0c\u4e0d\u89c4\u5219\u7f51\u72b6\u5f71\u548c\u7275\u62c9\u6027\u652f\u6c14\u7ba1\u6269\u5f20\u5e38\u51fa\u73b0\u5728GGO \u548c\u5b9e\u53d8\u533a\u5185\u3002\u5728\u67d0\u4e9b\u60c5\u51b5\u4e0b\uff0c\u673a\u5316\u6027\u80ba\u708e(OP)\u76f8\u5173\u7684\u5c40\u7076\u6027\u5b9e\u53d8\u7ecf\u7c7b\u56fa\u9187\u6fc0\u7d20\u6cbb\u7597\u540e\u53ef\u80fd\u6d88\u9000\u3002<\/p>\n<\/p>\n

\u5f25\u6f2b\u6027\u80ba\u6ce1\u635f\u4f24(DAD)\u3002CT ( A)\u663e\u793a\u5e7f\u6cdb\u7684GGO\u30023\u5468\u540e\uff08B)\u5c0f\u53f6\u95f4\u9694\u53d1\u5c55\u4e3a\u4e0d\u89c4\u5219\u7f51\u72b6\u5f71\u5e76\u53ef\u89c1\u7275\u62c9\u6027\u652f\u6c14\u7ba1\u6269\u5f20\u3002\u8fd9\u662fDAD\u968f\u65f6\u95f4\u63a8\u79fb\u7684\u5178\u578b\u6f14\u53d8\u8fc7\u7a0b\u3002<\/p>\n

\u5728\u5b58\u6d3b\u7684ARDS\u60a3\u8005\u4e2d\uff0c\u53d1\u75c5\u540e1~3\u5468\u51fa\u73b0\u7684\u7ea4\u7ef4\u5316\u8868\u73b0\u901a\u5e38\u662f\u53ef\u9006\u7684\uff0c\u5e76\u53ef\u5728\u968f\u540e\u7684\u6570\u5468\u81f3\u6570\u6708\u5185\u5f97\u5230\u6539\u5584\u3002\u7136\u800c\uff0c\u6b8b\u7559\u7684\u7ea4\u7ef4\u5316\u5e76\u4e0d\u5c11\u89c1\uff0c\u5e38\u4e3a\u8f7b\u5ea6\uff0c\u4e3b\u8981\u5206\u5e03\u4e8e\u80ba\u524d\u90e8\u7684\u80f8\u819c\u4e0b\u80ba\u533a\u3002\u968f\u7740\u65f6\u95f4\u63a8\u79fb\u800c\u6f14\u53d8\u7684\u5f71\u50cf\u8868\u73b0\u53ef\u7528\u4e8e\u533a\u5206\u7ea4\u7ef4\u5316\u6027DAD\u4e0e\u5176\u4ed6\u539f\u56e0\u6240\u81f4\u7684\u5f25\u6f2b\u6027\u80ba\u90e8\u5f02\u5e38\uff08\u5982\u611f\u67d3\u548c\u80ba<\/p>\n

\u6c34\u80bf\uff09\u3002<\/p>\n<\/p>\n

\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81(ARDS)\u540e\u7ea4\u7ef4\u5316\u3002ARDS\u5e78\u5b58\u8005\u6700\u7ec8\u53ef\u53d1\u5c55\u4e3a\u80ba\u7ea4\u7ef4\u5316(ARDS\u540e\u9057\u75c7\u4e4b\u4e00\uff09\u3002\u8fd9\u79cd\u7ea4\u7ef4\u5316\u5178\u578b\u5206\u5e03\u4e8e\u80ba\u524d\u90e8\u3002\u5178\u578b\u8868\u73b0\u5305\u62ec\u4e0d\u89c4\u5219\u7f51\u72b6\u5f71\u3001\u7275\u62c9\u6027\u652f\u6c14\u7ba1\u6269\u5f20\u548c\uff08\u6216\uff09\u8702\u7a9d\u5f81\uff08\u7bad\uff09\u3002<\/p>\n

5.\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81<\/p>\n

    <\/h2>\n

\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81(ARDS)\u662f\u4e00\u79cd\u4e0eDAD\u76f8\u5173\u7684\u4e34\u5e8a\u7efc\u5408\u5f81\uff0c\u76ee\u524dARDS\u7684\u4e34\u5e8a\u8bca\u65ad\u6807\u51c6\uff08\u5373Berlin\u6807\u51c6\uff09\u4e3b\u8981\u57fa\u4e8e\u4e34\u5e8a\u8868\u73b0\uff0c\u5206\u4e3a3\u7ea7\uff0c\u8bca\u65ad\u6807\u51c6\u4e0e\u5206\u7ea7\u5982\u4e0b\u6240\u793a\u3002<\/p>\n

  • \n

    \u6025\u6027\u8d77\u75c5(1\u5468\u4e4b\u5185\u51fa\u73b0\u65b0\u53d1\u75c7\u72b6\u6216\u539f\u6709\u75c7\u72b6\u52a0\u91cd\uff09\uff1b<\/p>\n<\/li>\n

    2.\u80f8\u90e8X\u7ebf\u6444\u5f71\u663e\u793a\u53cc\u80ba\u9634\u5f71\uff08\u65e0\u6cd5\u7528\u80f8\u8154\u79ef\u6db2\u3001\u80ba\u4e0d\u5f20\u6216\u7ed3\u8282\u89e3\u91ca\uff09\uff1b<\/p>\n

    3.\u6392\u9664\u5fc3\u529b\u8870\u7aed\u6216\u6db2\u4f53\u5bb9\u91cf\u8d1f\u8377\u8fc7\u91cd\u9020\u6210\u7684\u547c\u5438\u8870\u7aed\uff08\u5e38\u9700\u8981\u7ed3\u5408\u8d85\u58f0\u5fc3\u52a8\u56fe\uff09\uff1b<\/p>\n

    4.\u6c27\u5408\u6307\u6570\u4e0b\u964d\uff08PaO\u2082\/FiO\u2082\uff09<\/p>\n

    \u2460\u8f7b\u5ea6:200mmHg < PaO\u2082\/FiO\u2082\u2264300mmHg<\/p>\n

    \u2461\u4e2d\u5ea6:100mmHg < PaO\u2082\/FiO\u2082\u2264200mmHg<\/p>\n

    \u2462\u91cd\u5ea6: PaO\u2082\/FiO\u2082\u2264100mmHg<\/p>\n

    ARDS\u8bca\u65ad\u6807\u51c6\u7684\u76ee\u7684\u662f\u4e3a\u4e86\u7b5b\u9009\u51fa\u75c5\u60c5\u4e25\u91cd\u7684DAD\u60a3\u8005\u3002\u7136\u800c\uff0c\u4ec5\u670950\uff05\u7684ARDS\u60a3\u8005\u5728\u75c5\u7406\u4e0a\u5b58\u5728DAD\u3002\u4e0d\u4f34\u6709DAD\u7684ARDS\u6700\u5e38\u89c1\u75c5\u56e0\u5305\u62ec\u611f\u67d3\u3001\u80ba\u6c14\u80bf\u3001\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\u3001\u51fa\u8840\u548c\u95f4\u8d28\u6027\u80ba\u75c5\uff1b\u76f8\u53cd\uff0c\u5e76\u4e0d\u662f\u6240\u6709\u7684DAD\u60a3\u8005\u90fd\u7b26\u5408ARDS\u7684\u4e34\u5e8a\u6807\u51c6\u3002\u5728\u63cf\u8ff0\u5178\u578b\u7684HRCT\u8868\u73b0\u65f6\uff0c\u66f4\u51c6\u786e\u7684\u53d9\u8ff0\u662fHRCT\u8868\u73b0\u7b26\u5408DAD\u6216\u6025\u6027\u80ba\u635f\u4f24\u800c\u4e0d\u662f\u76f4\u63a5\u8bca\u65ad\u4e3aARDS\u3002<\/p>\n

    DAD \u548cARDS \u7684\u75c5\u56e0\u57fa\u672c\u76f8\u540c\uff0c\u53ef\u5206\u4e3a\u7cfb\u7edf\u6027\u75c5\u56e0\u548c\u76f4\u63a5\u7d2f\u53ca\u80ba\u7ec4\u7ec7\u7684\u75c5\u56e0\u3002\u5f15\u8d77DAD \u548cARDS \u7684\u7cfb\u7edf\u6027\u75c5\u56e0\u5305\u62ec\u8d25\u8840\u75c7\u3001\u4f11\u514b\u3001\u5f25\u6563\u6027\u8840\u7ba1\u5185\u51dd\u8840\u3001\u836f\u7269\u3001\u80f0\u817a\u708e\u548c\u4e25\u91cd\u70e7\u4f24\u3002\u7d2f\u53ca\u80ba\u90e8\u5f15\u8d77ARDS \u7684\u75c5\u56e0\u5305\u62ec\u80ba\u708e\u3001\u8bef\u5438\u3001\u5916\u4f24\u548c\u6bd2\u7269\u5438\u5165\u3002\u95f4\u8d28\u6027\u80ba\u75c5\u60a3\u8005\u7684\u75c5\u60c5\u6025\u5267\u6076\u5316\u662f\u5f15\u8d77DAD \u7684\u53e6\u4e00\u79cd\u539f\u56e0\uff0c\u6700\u5e38\u89c1\u4e8e\u7279\u53d1\u6027\u80ba\u7ea4\u7ef4\u5316\u60a3\u8005\uff0c\u79f0\u4e3a\u6025\u6027\u52a0\u91cd\u671f\u3002\u65e0\u5df2\u77e5\u8bf1\u56e0\u7684DAD \u53c8\u79f0\u4e3a\u6025\u6027\u95f4\u8d28\u6027\u80ba\u708e(AIP) \u6216Hamman\uff0dRich \u7efc\u5408\u5f81\u3002<\/p>\n

    \u5728HRCT \u4e0a\uff0cDAD \u7684\u9274\u522b\u8bca\u65ad\u5e94\u5305\u62ec\u5f15\u8d77\u5e7f\u6cdb\u80ba\u5b9e\u53d8\u7684\u5176\u4ed6\u75be\u75c5\uff0c\u5982\u6d41\u4f53\u9759\u529b\u6027\u80ba\u6c34\u80bf\u3001\u611f\u67d3\u548c\u51fa\u8840\u3002\u8fd9\u4e9b\u75be\u75c5\u7684HRCT \u8868\u73b0\u4e92\u76f8\u91cd\u53e0\uff0c\u800c\u4e14\u591a\u79cd\u75c5\u56e0\u548c\u4e0d\u540c\u75c5\u7a0b\u5e76\u5b58\u7684\u60c5\u51b5\u4e5f\u4e0d\u5c11\u89c1\u3002\u65e9\u671fDAD \u7684\u5f02\u5e38\u8868\u73b0\u53ef\u5206\u5e03\u5728\u80ba\u5916\u5468\uff0c\u800c\u80ba\u6c34\u80bf\u7684\u5f02\u5e38\u5f81\u8c61\u5178\u578b\u8868\u73b0\u4e3a\u5f25\u6f2b\u6027\u6216\u4e2d\u592e\u6027\u5206\u5e03\u3002\u660e\u663e\u7684\u5c0f\u53f6\u95f4\u9694\u5e73\u6ed1\u589e\u539a\u63d0\u793a\u80ba\u6c34\u80bf\u800c\u975eDAD\u3002\u5c0f\u53f6\u4e2d\u5fc3\u6027\u8f6f\u7ec4\u7ec7\u5bc6\u5ea6\u7ed3\u8282\u3001\u547c\u5438\u9053\u708e\u548c\u6811\u82bd\u5f81\u63d0\u793a\u5b58\u5728\u611f\u67d3\u3002<\/p>\n

    END<\/p>\n","protected":false},"excerpt":{"rendered":"

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