????????? (acute respiratory distress syndrome,ARDS) - PowerPoint PPT Presentation

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????????? (acute respiratory distress syndrome,ARDS)

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Title: ????????? (acute respiratory distress syndrome,ARDS)


1
?????????(acute respiratory distress
syndrome,ARDS)
  • ??????????
  • ? ?

2
????
  1. ??
  2. ???????
  3. ??
  4. ????
  5. ????
  6. ????????
  7. ??
  8. ????
  9. ??
  10. ??

3
??
  • ????????????????????????????????
  • ??????
  • ???????????????????????????????????
    ?????????
  • ??????
  • ?????? ?????? ??????????
  • ????
  • ????????? ??????? ??X???????????
    ????????????

4
??
  • ???????
  • ????? ?????? ??? ?????? ?? ????
  • ???????
  • ???(sepsis) ???????? ????? ???? ????
    ????????(DIC)?

5
  • ????
  • ??????
  • ????????????????
  • ??????????????????????(SIRS/CARS)????

6
(No Transcript)
7
ARDS??????? ????????????????? ?????????
8
  • ????
  • ???
  • ???
  • ????

9
???? ?????? ?????????/????????
  • ??????????
  • ??????

10
????
  • ???
  • ????46h???????? ????? ???????? X????????
  • ?????
  • ????624h ????? ???? ????????? ???? ????
    ???? PaCO2???????? X?????????? ????????
    ???????????????????

11
  • ?????
  • ????2448h ???? ??????? ??????
    ???????????????????????3550 ?/min ??????????
    X????????????????????? ????????
    ????PaCO2?PaCO2??? ??????
  • ???
  • ???????????,???????????????????X??????????????
    ?,????????????????????CO2??,?????????,???????????

12
????????
  • X???

13
??????
  • ?????? PaO2?PaCO2??PH??
  • ??????
  • ????PaO2/FiO2200mmHg

14
??
  • ???????
  • ?????Swan-ganz??

15
????
  1. ????????
  2. ???? ?????(?)????
  3. ???? ALI???????(PaO2)/????(FiO2)300 mm Hg(1 mm
    Hg0.133 kPa) ARDS?PaO2/FiO2200 mm Hg
  4. ??X?????????
  5. ???????(PCWP)18 mm Hg?????????????
  6. ?????5?????ALI?ARDS

16
????
  • ?????
  • ??
  • ??????
  • ?????
  • ?????

17
??
  • ?????
  • ???? ?????
  • ????
  • PEEP???
  • ????
  • ????
  • ???????
  • ????

18
??
  • ?????
  • ????

19
?????!
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