最近审阅: 八月 2020
最近更新: 四月  2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 低血氧饱和度
  • 急性呼吸衰竭

其他诊断因素

  • 危重患者
  • 呼吸困难
  • 呼吸频率增加
  • 肺部捻发音
  • 肺顺应性降低
  • 发热、咳嗽、胸膜炎性胸痛
  • 泡沫样痰

危险因素

  • 脓毒症
  • 误吸
  • 肺炎
  • 严重创伤
  • 输血
  • 肺移植
  • 胰腺炎
  • 酒精滥用史
  • 烧伤和烟雾吸入
  • 淹溺
  • 电子烟和电子烟产品的使用
  • 药物过量
  • 吸烟

诊断性检查

首要检查

  • 胸部 X 线检查
  • 动脉血气
  • 痰培养
  • 血液培养
  • 尿液培养
  • 淀粉酶和脂肪酶
更多 首要检查

需考虑的检查

  • 脑利钠肽 (BNP)
  • 超声心动图
  • 肺动脉导管术
  • 支气管肺泡灌洗或气管内抽吸物
  • 胸部CT扫描
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Lorraine Ware

Professor of Medicine and Pathology, Microbiology and Immunology

Director

Vanderbilt Medical Scholars Program

Division of Allergy, Pulmonary and Critical Care Medicine

Department of Medicine

Vanderbilt University School of Medicine

Nashville

TN

利益声明

LW has received advisory board fees from Bayer, Quark, and CSL Behring and contractual research support to her institution from Global Blood Therapeutics, Boehringer Ingelheim, and CSL Behring.

Dr Lorraine Ware would like to gratefully acknowledge Dr Richard Fremont, a previous contributor to this topic.

同行评议者展开全部内容

Director of Medicine Critical Care Fellowship

Department of Anesthesia and Perioperative Care

University of California San Francisco

CA

利益声明

MAM declares that he has no competing interests.

Professor of Intensive Care Medicine

Royal Brompton Hospital

London

UK

利益声明

TE declares that he has no competing interests.

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