摘要急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)为临床常见的危重症,是引起新生儿死亡的重要原因之一.自从1967年首次报道ARDS以来,其定义和诊断标准一直存在争议.1994年欧美ARDS联席会议提出的AECC诊断标准和2012年发布的柏林诊断标准对ARDS的临床诊疗和科学研究具有重要意义.2017年国际上首次发布新生儿ARDS诊断标准,对新生儿ARDS的基础研究与临床实践发挥积极的推动作用.该文就ARDS的定义与诊断标准的演进,以及新生儿ARDS诊断标准的建立和临床应用相关问题进行综述.

abstractsAcute respiratory distress syndrome (ARDS) is a common clinical critical illness and is one of the important causes of neonatal death.Since the first report of ARDS in 1967,its definition and diagnostic criteria have been controversial.The AECC diagnostic criteria proposed by American-European Consensus Conference in 1994 and the Berlin diagnostic criteria issued in 2012 are of great significance for the clinical diagnosis and scientific research of ARDS.In 2017,the first international diagnostic criteria for ARDS in neonates was released,which will play an active role in promoting basic research and clinical practice of neonatal ARDS.This article reviews the evolution of ARDS definitions and diagnostic criteria,as well as the establishment and clinical applications of diagnostic criteria for neonatal ARDS.