Pneumonia induced acute respiratory distress syndrome:consideration of strategy in diagnosis and ther-apy
10.3760/cma.j.issn.1673-4912.2016.12.006
- VernacularTitle:肺炎诱发急性呼吸窘迫综合征诊治策略的思考
- Author:
Chunfeng LIU
- Keywords:
Acute respiratory distress syndrome;
Pneumonia;
Diagnosis;
Therapy
- From:
Chinese Pediatric Emergency Medicine
2016;23(12):826-829
- CountryChina
- Language:Chinese
-
Abstract:
The pathology, clinical manifestation, radiologic changes and pulmonary mechanics are more complicated in pneumonia induced ARDS than in other extrapulmonary origins. Heterogeneity is obvi-ous with increased respiratory tract resistance and decline of lung compliance. The injury of both tract and alveoli is more severe including airleak,pulmonary hemorrhage,pulmonary edema etc. Lung protective strate-gy should be followed in ventilatory support,but in some cases this will not work,thus individual treatment should be performed accordingly. In addition,clinical diagnosis of ARDS according to Berlin definition is not real ARDS pathologically, some cases are simply pneumonia, therefore treatment for ARDS is not always working. Integrity treatment is needed in pneumonia induced ARDS including antibiotics and other organ sup-port.
