主管单位:中华人民共和国
国家卫生健康委员会
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总编辑:杨秋
编辑部主任:吴翔宇
邮发代号:80-528
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英文作者:Guo Litao1 Zhang Wankui2 Ma Siqing3
单位:1西安交通大学第一附属医院重症医学科,西安710061;2青海省海东市第一人民医院重症医学科,海东810699;3青海省人民医院重症医学科,西宁810007
英文单位:1Department of Critical Care Medicine the First Affiliated Hospital of Xi′an Jiaotong University Xi′an 710061 China; 2Department of Critical Care Medicine the First People′s Hospital of Haidong Qinghai Province Haidong 810699 China; 3Department of Critical Care Medicine Qinghai Provincial People′s Hospital Xining 810007 China
英文关键词:Acuterespiratorydistresssyndrome;High-altitudepulmonaryedema;High-altitudediseases;Diagnosis
急性呼吸窘迫综合征(ARDS)是常见的呼吸系统危重症,发病率和死亡率都很高。高原气压低、氧含量低、干燥寒冷、强辐射及气候多变的环境对人体健康有巨大的影响。高海拔地区急慢性缺氧可诱发多种疾病,ARDS的发病率也显著增加,为16.70%~20.72%。低氧是高原ARDS的诱发及加重因素。高原ARDS尽管与平原地区的ARDS有许多相似之处,但高原低压低氧的环境,造成高原ARDS独特的病理生理特征,因此其诊断标准和低海拔地区不完全相同。海拔氧合指数校正的柏林标准可以区分高原ARDS的严重程度,但仍存在争议,对于高原ARDS诊断目前仍没有统一可行的标准。本文就高原ARDS诊断方面的相关研究进展进行综述。
Acute respiratory distress syndrome(ARDS) is a common respiratory disease with high morbidity and mortality. The plateau environment of low pressure, low oxygen, dry, cold, strong radiation and changeable climate have a huge impact on human health. Acute and chronic hypoxia at high-altitudes may induce a variety of diseases. The incidence of ARDS also increases significantly, nearly 16.70%-20.72%. Hypoxia is an inducing and aggravating factor of high-altitude ARDS. Although high-altitude ARDS has many similarities with plains ARDS, the high-altitude hypobaric and hypoxic environment Results in unique pathophysiological characteristics of high-altitude ARDS, so its diagnostic criteria are not exactly the same as those in low-altitude areas. The oxygenation index altitude-adjusted Berlin criteria correctly identified the severity of high-altitude ARDS, however, the diagnostic criteria for high-altitude ARDS is still controversial. There is still no uniform and feasible standard for the diagnosis of high-altitude ARDS. This paper reviews the research progress on the diagnosis of high-altitude ARDS.
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