文章基本信息

标题：Acute respiratory distress syndrome (ARDS) complicating influenza A/H1N1v infection - a clinical approach.
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作者：Agnieszka Witczak ; Andrzej Prystupa ; Ewa Kurys-Denis 等
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2013
卷号：20
期号：4
页码：820-822
出版社：Institute of Agricultural Medicine in Lublin
摘要：ARDS is defined as an acute inflammatory syndrome characterized with bilateral parenchymal lung infiltrates on chest radiograph and PaO2/FiO2ratio<200 resulting from causes other than acute left ventricular dysfunc tion. Inflammatory lung lesions may be induced by different disorders, with sepsis being the leading cause of ARDS. Other causes include infec tious pneumonia, aspiration of gastric contents, drugs, severe trauma, fat embolism, surface burn, massive blood transfusion. Influenza A / H1N1 infection seems to be responsible for the development of extremely severe type of ARDS with poor response to routine treatment. Despite great progress in the management of ARDS with novel agents and sophisticated techniques, including antimicrobial drugs, extracorporeal membrane oxygenation, prostaglandins, nitric oxide, prostacyclin, exogenous surfactant administration and activated protein C, supportive treatment based mostly on advanced mechanical ventilation in the intensive care units seems to be the most important for the prognosis
关键词：acute respiratory distress syndrome (ARDS); A/H1N1 influenza; mechanical ventilation