急性呼吸窘迫综合征致急性肺心病的研究进展  

Research progress in acute cor pulmonale caused by acute respiratory distress syndrome

作　　者：杜同跃 郑以山 DU Tong-Yue;ZHENG Yi-Shan(Department of Intensive Medicine,Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine,Nanjing 210003,China)

机构地区：[1]南京中医药大学附属南京医院重症医学科,南京210003

出　　处：《中华老年多器官疾病杂志》2021年第4期309-312,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：江苏省科技厅社会发展面上项目(BE2016613);南京市卫生健康委员会医学科技重点项目(201701040)。

摘　　要：急性肺心病(ACP)是急性呼吸窘迫综合征(ARDS)的严重并发症之一,一旦发生,不仅导致体循环淤血,而且可影响左心的收缩和舒张功能,进一步加重循环衰竭。目前ARDS肺保护性通气策略获得显著进展,但中重度ARDS患者的病死率依然居高不下。本文就ARDS患者ACP的流行病学、病理生理机制、诊断方法及机械通气策略等方面做一综述。Acute cor pulmonale(ACP)is one of the serious complications of acute respiratory distress syndrome(ARDS).Its occurrence can not only cause congestion of the systemic circulation but also affect the contraction and diastolic function of the left heart,further aggravating circulatory failure.At present,significant progress has been made in the lung protective ventilation strategy for ARDS,but the mortality of patients with moderate to severe ARDS remains high.The author reviews ACP in ARDS patients in the respects of epidemiology,pathophysiology,diagnostic methods,and mechanical ventilation strategies.

关 键 词：急性呼吸窘迫综合征 急性肺心病 机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]