????????? (acute respiratory distress syndrome,ARDS) - PowerPoint PPT Presentation
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Title:
????????? (acute respiratory distress syndrome,ARDS)
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Title: ????????? (acute respiratory distress syndrome,ARDS)
1
?????????(acute respiratory distress
syndrome,ARDS)
- ??????????
- ? ?
2
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3
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- ????????????????????????????????
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- ???????????????????????????????????
????????? - ??????
- ?????? ?????? ??????????
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- ????????? ??????? ??X???????????
????????????
4
??
- ???????
- ????? ?????? ??? ?????? ?? ????
- ???????
- ???(sepsis) ???????? ????? ???? ????
????????(DIC)?
5
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- ????????????????
- ??????????????????????(SIRS/CARS)????
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(No Transcript)
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ARDS??????? ????????????????? ?????????
8
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9
???? ?????? ?????????/????????
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10
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- ????46h???????? ????? ???????? X????????
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- ????624h ????? ???? ????????? ???? ????
???? PaCO2???????? X?????????? ????????
???????????????????
11
- ?????
- ????2448h ???? ??????? ??????
???????????????????????3550 ?/min ??????????
X????????????????????? ????????
????PaCO2?PaCO2??? ?????? - ???
- ???????????,???????????????????X??????????????
?,????????????????????CO2??,?????????,???????????
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????????
- X???
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??????
- ?????? PaO2?PaCO2??PH??
- ??????
- ????PaO2/FiO2200mmHg
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??
- ???????
- ?????Swan-ganz??
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????
- ????????
- ???? ?????(?)????
- ???? ALI???????(PaO2)/????(FiO2)300 mm Hg(1 mm
Hg0.133 kPa) ARDS?PaO2/FiO2200 mm Hg - ??X?????????
- ???????(PCWP)18 mm Hg?????????????
- ?????5?????ALI?ARDS
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17
??
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- ???? ?????
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- PEEP???
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??
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- ????
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