急性肺損傷與急性呼吸窘迫綜合征PPT學(xué)習(xí)教案

1、會(huì)計(jì)學(xué)1急性肺損傷與急性呼吸窘迫綜合征急性肺損傷與急性呼吸窘迫綜合征2第1頁/共54頁3第2頁/共54頁4的滲出性病變。第3頁/共54頁5Bernard GR et al., Am J Respir Crit Care Med 1994第4頁/共54頁6影像表現(xiàn)影像表現(xiàn)第5頁/共54頁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頁/共54頁8直接因素直接因素間接因素間接因素第7頁/共54頁9第8頁/共54頁10第9頁/共54頁11第10頁/共54頁12第11頁/共54頁13第12頁/共54頁14第13頁/共54頁15第14頁/共54頁16第15頁/共54頁17 低

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