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首页 > 医学词汇大全 > ARDS and lung ultrasound score
ARDS and lung ultrasound score

重症

关键词重症 诊断方式 急性呼吸窘迫综合征

词汇介绍

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解析

ards

释    义   abbr. 急性呼吸窘迫综合征(Acute Respiratory Distress Syndrome)

例    句   Although ARDS often occurs in people who have lung disease, even people with normal lungs can develop the condition as the result of severe trauma or an infection.尽管ARDS经常发生在有肺病的患者身上,肺功能正常的人也能在严重的外伤或者感染后发生这种疾病。

 

lung  英  /lʌŋ/  美  /lʌŋ/  

释    义   n. 肺;呼吸器

例    句   They forced air into his lung.他们把空气吹入他的肺里。

 

ultrasound  英  /ˈʌltrəsaʊnd/  美  /ˈʌltrəsaʊnd/  

释    义   n. 超声;超音波

例    句   Ultrasound and the future of abortion.超声和未来的人工流产。

 

score  英  /skɔː(r)/  美  /skɔːr/  

释    义   n. 分数;二十;配乐;刻痕;

               vt. 获得;评价;划线,刻划;把…记下;

               vi. 得分;记分;刻痕

例    句   Their team beat ours by a large score.他们队以很高比分打败了我们队。

概述

  急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)是一种发病率、病死率较高的疾病,尽管近年来ARDS的发病机制、病理生理和呼吸支持治疗等方面的研究有着显著进展,但临床病死率仍高达27%~45%,尽早的诊断和评估对改善预后具有重要价值。床旁超声检查简单安全、可重复且无放射性,是对急危重患者非常便捷的诊断工具。研究表明,通过特有的“彗尾征”,“A”线,组织样征,支气管充气征等征象,超声可用于观察肺部疾病的变化

Chest radiography versus lung ultrasound for identification of acute respiratory distress syndrome: a retrospective observational study复制标题

胸片与肺超声鉴别急性呼吸窘迫综合征的回顾性观察性研究

发表时间:2018-08-18

影响因子:7.0

作者: See KC

期刊:Crit Care

In this retrospective study of 456 patients who required ventilatory support for hypoxemic respiratory failure,47–50% were identified to have ARDS according to the Berlin definition using either chest radiography or lung ultrasound. The main findings were as follows: firstly,both definitions could identify similar groups of patients who had increased ICU or hospital mortality; secondly,the Berlin definition using lung ultrasound helped identify patients at higher risk of death, even if these patients did not fulfill the conventional Berlin definition using chest radiography; and thirdly, the overlap of patients using both definitions was only 65.5–69.4%.Among 1550 patients admitted to our ICU within the study period, 216 patients met the Berlin-CXR definition for ARDS. This proportion of 13.9% was slightly higher than the 10% found in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE), which may be due to our case-mix as a tertiary-level medical ICU for pneumonia and respiratory failure.

译文

在这项回顾性研究中,对456名需要低氧血症性呼吸衰竭的患者进行通气支持的患者,根据柏林的定义,使用胸部X线照相或肺部超声检查,发现47%至50%的人患有ARDS。主要发现如下:首先,两个定义都可以识别出ICU或医院死亡率增加的相似患者组。其次,即使肺部超声不符合传统的柏林胸片定义,使用肺部超声的柏林定义也有助于识别较高死亡风险的患者。第三,使用这两种定义的患者重叠率仅为65.5–69.4%。在研究期间,我们的ICU入院的1550例患者中,有216例达到了ARDS的Berlin-CXR定义。这一比例为13.9%,略高于大型观察性研究中为了解严重急性呼吸衰竭(LUNG SAFE)的全球影响而得出的10%,这可能是由于我们作为第三级医疗ICU的病例组合肺炎和呼吸衰竭。