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昏迷、低氧血症、呼吸衰竭、肺纹理增多、抬肩以助呼吸、呼吸困难、呼吸性碱中毒、心源性呼吸窘迫、口唇发绀、二氧化碳潴留
ARDS is acute diffuse lung injury causing hypoxemic respiratory failure with bilateral infiltrates not fully explained by heart failure/fluid overload, due to sepsis/pneumonia/aspiration/trauma. Treatment: treat underlying cause; lung-protective ventilation (VT 6 mL/kg PBW, plateau <30); PEEP titration; FiO2/SpO2 target; conservative fluid strategy; prone positioning in severe; neuromuscular blockers in selected severe; inhaled vasodilators as rescue; ECMO in refractory; monitor complications (VAP/barotrauma/PE); nutrition; sedation minimization.
Acute dyspnea; hypoxemia; bilateral infiltrates; by sepsis/pneumonia/aspiration/trauma
Direct/indirect lung injury causes diffuse alveolar damage, capillary leak, and noncardiogenic edema.
Lung-protective ventilation; treat cause; PEEP; prone/neuromuscular blockers; ECMO rescue; conservative fluid
Treat sepsis/pneumonia early; lung-protective ventilation; aspiration prevention.
It is recommended to visit the ICU/Pulmonology-Emergency department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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