液体负荷过多性肺水肿的再认识  

Reunderstanding of pulmonary edema caused by excessive fluid load

作　　者：缪红军[1] 李灼[1] Miao Hongjun;Li Zhuo.(Department of Emergency/Critical Care Medicine, Children＇s Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China)

机构地区：[1]南京医科大学附属儿童医院急诊医学科/重症医学科,210008

出　　处：《中国小儿急救医学》2018年第4期264-266,共3页Chinese Pediatric Emergency Medicine

摘　　要：液体负荷过多性肺水肿是临床常见的综合征。目前研究发现肺水肿形成的机制除与水负荷过多有关外，还与毛细血管结构、渗透性改变有关。其临床诊断需结合病史、基础疾病以及X线胸片、超声等检查进行综合判断。治疗应以减轻液体超负荷为主，同时兼顾血流动力学稳定与器官功能的优化。Pulmonary edema with fluid overload is a common clinical syndrome. Current studies had found that the mechanism of pulmonary edema was related to capillary structure and osmotic changes in addition to excessive water load. The clinical diagnosis should be combined with the medical history, the basic disease and the X-ray and ultrasound examination. The fluid overload should be reduced and the hemodynamic stability and organ function optimization should be taken into consideration.

关 键 词：液体超负荷 肺水肿 发病机制 诊断 

分 类 号：R725.6[医药卫生—儿科]