首都医科大学学报 ›› 2013, Vol. 34 ›› Issue (2): 201-203.doi: 10.3969/j.issn.1006-7795.2013.02.007

• 重症医学专题 • 上一篇    下一篇

急性呼吸窘迫综合征的柏林定义:究竟改变了什么?

杜斌   

  1. 北京协和医院内科ICU, 北京 100730
  • 收稿日期:2013-01-16 出版日期:2013-04-21 发布日期:2013-04-17

Berlin definition of acute respiratory distress syndrome: what has been changed?

DU Bin   

  1. Department of Medical ICU, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2013-01-16 Online:2013-04-21 Published:2013-04-17

摘要:

自从1994年欧美共识会议急性呼吸窘迫综合征被提出以来,其局限性逐渐地被认识到。因此,2012年提出了ARDS柏林标准,对发病时机和合并心源性肺水肿的情况进行了详细的解释。但是,柏林标准仍采用氧合指数判断氧合障碍的严重程度,因此可能受到吸入氧浓度的影响。另外,尚无证据说明胸片数据库有助于改善影像学诊断的准确性和一致性。

关键词: 急性呼吸窘迫综合征, 诊断标准, 定义

Abstract:

Since the publication of American-European Consensus Conference(AECC) definition of acute respiratory distress syndrome(ARDS) in 1994, the limitations of the AECC definition were recognized. In 2012, the Berlin definition of ARDS was published, specifying the acute time frame, and creating illustrative vignettes to guide judgments about the primary cause of respiratory failure. However, the Berlin definition still classified the severity of oxygenation impairment by oxygenation index, which might be subject to the influence of inspired fraction of oxygen. In addition, there is no evidence that the reference set of chest radiographs helps to enhance inter-observer reliability. 【

Key words: acute respiratory distress syndrome, diagnostic criteria, definition

中图分类号: