■急性呼吸窘迫综合征(ARDS)是一种严重的,危及生命的医疗状况,其特征是由于非顺应性肺继发性弥漫性肺泡损伤导致氧合不良。令人鼓舞的是,ARDS的发病率最近稳步下降,主要归功于基石指导方针的实施和持续的研究努力。机械通气是ARDS患者支持治疗的基石。本文旨在巩固有关气胸(PNX)和纵隔气肿(PMD)的最新知识,并增进读者的理解。目的是(I)探讨PNX和PMD的病因和危险因素,(II)讨论可用的各种诊断方式,(三)评估管理方案,(四)最新进展。
■使用PubMed进行了文献检索,MEDLINE,和谷歌学者有关ARDS人群中PNX和PMD的相关文章。临床表现,PNX的诊断和管理策略,PMD,并对ARDS进行了总结,和所有作者审查了选择,并决定包括哪些研究。
■采用肺保护性通气策略,基于对近年来文献的回顾,表明它在减少气压伤的发生方面发挥了重要作用,例如PNX和PMD。然而,PNX和PMD仍然是一个具有挑战性的复杂管理。特别关注PNX和PMD,这篇综述为有效管理和理解ARDS患者的这些严重并发症提供了有价值的见解.
■ARDS,随着其不断演变的定义,继续构成威胁生命的威胁。尽管广泛采用肺保护性通气策略,PNX和PMD在管理方面提出了持续的挑战。进一步的研究是必要的,以加强ARDS患者容易发展为PNX和PMD的风险评估,并制定更有效的预防和治疗措施。
UNASSIGNED: Acute respiratory distress syndrome (ARDS) is a severe, life-threatening medical condition characterized by poor oxygenation due to non-compliant lungs secondary diffuse alveolar damage. Encouragingly, the incidence of ARDS has declined steadily recently, attributed mainly to implementation of keystone guidelines and continuous research efforts. Mechanical ventilation is the cornerstone of supportive care for ARDS patients. This
review aims to consolidate the current knowledge on pneumothorax (PNX) and pneumomediastinum (PMD) and to enhance the understanding of the readers. The objectives are to (I) explore the etiology and risk factors of PNX and PMD, (II) discuss the various diagnostic modalities available, (III) evaluate management options, and (IV) recent advancements.
UNASSIGNED: A search of the literature was conducted using PubMed, MEDLINE, and Google Scholar for relevant articles pertaining to PNX and PMD in ARDS population. The clinical presentation, diagnostic and management strategies of PNX, PMD, and ARDS were summarized, and all authors reviewed the selection and decide which studies to include.
UNASSIGNED: The adoption of lung-protective ventilation strategies, based on the
review of literature from the recent years, shows that it has played a significant role in reducing the occurrence of barotrauma, such as PNX and PMD. However, PNX and PMD remains to be a challenging complication to manage. With a specific focus on PNX and PMD, this
review provides valuable insights into effectively managing and understanding these critical complications among ARDS patients.
UNASSIGNED: ARDS, with its evolving definition, continues to pose a life-threatening threat. Despite the widespread adoption of lung-protective ventilation strategies, PNX and PMD present persistent challenges in management. Further research is imperative to enhance the risk assessment of ARDS patients prone to developing PNX and PMD and to institute more effective prevention and treatment measures.