急性肺损伤与急性呼吸窘迫综合征PPT学习教案

1、会计学1急性肺损伤与急性呼吸窘迫综合征急性肺损伤与急性呼吸窘迫综合征2第1页/共54页3第2页/共54页4的渗出性病变。第3页/共54页5Bernard GR et al., Am J Respir Crit Care Med 1994第4页/共54页6影像表现影像表现第5页/共54页7G GGas exchangeGas exchangeGas exchange Gas exchange (to be combined with (to be combined with the numeric the numeric descriptor)descriptor)0 01 12 23 3A A

2、B BC CD DPaoPao2 2/Fio/Fio2 2 301 301PaoPao2 2/Fio/Fio2 2 200 -300 200 -300PaoPao2 2/Fio/Fio2 2 101 200 101 200PaoPao2 2/Fio/Fio2 2 100 100Spontaneous breathing, no PEEPSpontaneous breathing, no PEEPAssisted breathing, PEEP 0-5 cmHAssisted breathing, PEEP 0-5 cmH2 2O OAssisted breathing, PEEP 6-10 c

3、mHAssisted breathing, PEEP 6-10 cmH2 2O OAssisted breathing, PEEP Assisted breathing, PEEP 10 cmH 10 cmH2 2O OO OOrgan failureOrgan failureA AB BC CD DLung onlyLung onlyLung + 1 organLung + 1 organLung + 2 organsLung + 2 organsLung + Lung + 3 organs 3 organsC CCauseCause1 12 23 3UnknownUnknownDirect

4、 lung injuryDirect lung injuryIndirect lung injuryIndirect lung injuryA AAssociated diseasesAssociated diseases0 01 12 2No coexisting disease that will cause death within 5 yrNo coexisting disease that will cause death within 5 yrCoexisting disease that will cause death within 5 yr but not within 6

5、Coexisting disease that will cause death within 5 yr but not within 6 momoCoexisting disease that will cause death within 6 moCoexisting disease that will cause death within 6 mo第6页/共54页8直接因素直接因素间接因素间接因素第7页/共54页9第8页/共54页10第9页/共54页11第10页/共54页12第11页/共54页13第12页/共54页14第13页/共54页15第14页/共54页16第15页/共54页17 低

6、氧血症第16页/共54页18第17页/共54页19第18页/共54页20第19页/共54页21第20页/共54页22第21页/共54页23第22页/共54页24第23页/共54页25第24页/共54页26第25页/共54页27第26页/共54页28第27页/共54页29危及生命的低氧血症。第28页/共54页30第29页/共54页31第30页/共54页32第31页/共54页33第32页/共54页34第33页/共54页35第34页/共54页36第35页/共54页37PEEP的作用的作用第36页/共54页38第37页/共54页39第38页/共54页40第39页/共54页41第40页/共54页42第41页/共54页43第42页/共54页44第43页/共54页45第44页/共54页4