摘要急性呼吸窘迫综合征(ARDS)是临床常见的危急重症,具有治疗难度大、病死率高等特点,严重威胁患者的生命.近年来关于ARDS的文献较多,但其发病机制、诊断标准和治疗策略尚未统一.现以循证医学为基础,总结和分析ARDS的诊断标准及基础疾病治疗、液体管理、肺保护性通气策略、俯卧位机械通气、高频振荡通气、体外膜肺治疗、外源性表面活性物质、吸入一氧化氮和药物治疗等在ARDS中的应用,以期推进ARDS规范化诊疗策略的进展.

abstractsAcute respiratory distress syndrome (ARDS) is a common clinical emergency with difficult management and high mortaity,which is a critical threat for patients.Recently,ARDS have attracted more attention,but that of pathogenesis,diagnostic criteria and treatment strategies have not yet unified.This paper summarizes and analyzes the diagnostic criteria of ARDS,and underlying disease treatment,fluid management,lung protective ventilation strategy,prone position mechanical ventilation,high-frequency oscillatory ventilation,extracorporeal membrane oxygenation treatment,exogenous surfactant substance,inhaled nitric oxide and drug treatment in ARDS based on evidence-based medicine in order to promote the progress of ARDS standardized diagnostic and treatment strategy.