急性呼吸窘迫综合征属于较为常见的一种危及人类呼吸安全,关乎人类生命安全的呼吸系统重症表现。患者可在短时间内出现肺部损伤,且呈现出急性和弥漫性,需采取及时的通气治疗,以维持患者气道通畅,挽救患者生命安全,并为其后续治疗创造有...急性呼吸窘迫综合征属于较为常见的一种危及人类呼吸安全,关乎人类生命安全的呼吸系统重症表现。患者可在短时间内出现肺部损伤,且呈现出急性和弥漫性,需采取及时的通气治疗,以维持患者气道通畅,挽救患者生命安全,并为其后续治疗创造有利条件,改善预后。俯卧位多用于改善重度急性呼吸窘迫综合征患者氧合,特别是新冠病毒大流行期间,俯卧位广泛应用于临床中,取得良好效果。现就俯卧位在重度ARDS治疗中的作用机制作一综述。Acute respiratory distress syndrome is a common severe manifestation of respiratory system, which endangers human respiratory safety and is related to human life safety. Patients can have lung injury in a short period of time, and it is acute and diffuse. Timely ventilation treatment is needed to maintain the patient’s airway patency, save the patient’s life safety, and create favorable conditions for its follow-up treatment and improve the prognosis. The prone position is mostly used to improve oxygenation in patients with severe acute respiratory distress syndrome. Especially during the novel coronavirus pandemic, the prone position is widely used in clinical practice to determine good application results. This article reviews the mechanism of prone position in the treatment of severe ARDS.展开更多
文摘急性呼吸窘迫综合征属于较为常见的一种危及人类呼吸安全,关乎人类生命安全的呼吸系统重症表现。患者可在短时间内出现肺部损伤,且呈现出急性和弥漫性,需采取及时的通气治疗,以维持患者气道通畅,挽救患者生命安全,并为其后续治疗创造有利条件,改善预后。俯卧位多用于改善重度急性呼吸窘迫综合征患者氧合,特别是新冠病毒大流行期间,俯卧位广泛应用于临床中,取得良好效果。现就俯卧位在重度ARDS治疗中的作用机制作一综述。Acute respiratory distress syndrome is a common severe manifestation of respiratory system, which endangers human respiratory safety and is related to human life safety. Patients can have lung injury in a short period of time, and it is acute and diffuse. Timely ventilation treatment is needed to maintain the patient’s airway patency, save the patient’s life safety, and create favorable conditions for its follow-up treatment and improve the prognosis. The prone position is mostly used to improve oxygenation in patients with severe acute respiratory distress syndrome. Especially during the novel coronavirus pandemic, the prone position is widely used in clinical practice to determine good application results. This article reviews the mechanism of prone position in the treatment of severe ARDS.
文摘1病例介绍
患者男性,38岁,因＂发热、干咳、气促10天＂入院。患者在受凉感冒后出现发热、咳嗽、气喘,在当地医院抗感染治疗后咳嗽稍好转。但持续发热,最高达39℃,气促加重,轻微活动后即出现气喘,不能平卧。既往有高血压病史,未规律服降压药及监测血压。体检：体温38.0℃,呼吸28次/分（面罩吸氧,10 L/分）,脉搏99次/分,血压144/95 mm Hg。
