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新生儿急性肺损伤的诊断与治疗策略
引用本文:周晓光. 新生儿急性肺损伤的诊断与治疗策略[J]. 临床儿科杂志, 2008, 26(3): 169-172
作者姓名:周晓光
作者单位:广州医学院第二附属医院新生儿科,广东广州,510660
摘    要:
急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS)是新生儿临床的常见危重症,随着对ALI/ARDS实验与临床研究的不断深入,人们对新生儿ALI/ARDS的认识明显提高,文章提出了新生儿ALI/ARDS诊断依据与治疗策略,在控制原发疾病基础上,应用肺保护性通气策略、加强液体管理、降低肺动脉压力和给予抗炎治疗等,对提高新生儿ALI/ARDS抢救成功率具有重要意义.

关 键 词:急性肺损伤  急性呼吸窘迫综合征  新生儿
文章编号:1000-3606(2008)03-0169-04
修稿时间:2007-11-12

Diagnosis and management strategies of acute lung injury/acute respiratory distress syndrome
ZHOU Xiao-guang. Diagnosis and management strategies of acute lung injury/acute respiratory distress syndrome[J]. The Journal of Clinical Pediatrics, 2008, 26(3): 169-172
Authors:ZHOU Xiao-guang
Abstract:
Acute lung injury(ALI)/acute respiratory distress syndrome(ARDS) is a common critical disorder in newborn infants.Extensive investigations on its clinical course and pathology have been carried out from experimental models and human studies.Base on those findings,recommendations for the management strategies of ALI/ARDS have been suggested.In this review,author further analyzed previous studies and discussed current treatment strategies as well as future directions for ALI/ARDS,including treatment of primary infection,protective use of ventilation,fluid management,reduction of pulmonary arterial pressure,and anti-inflammatory therapies.
Keywords:acute lung injury  acute respiratory distress syndrome  neonate
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