最后审核时间: 一月 2020
最近更新时间: 十月  2019

小结

定义

病史和查体

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
  • 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

需要考虑的检查

  • 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 需要考虑的检查

治疗流程

贡献者

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

利益冲突披露

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.

同行评议专家查看所有

Director of Medicine Critical Care Fellowship

Department of Anesthesia and Perioperative Care

University of California San Francisco

CA

利益冲突披露

MAM declares that he has no competing interests.

Professor of Intensive Care Medicine

Royal Brompton Hospital

London

UK

利益冲突披露

TE declares that he has no competing interests.

使用此内容应接受我们的免责声明