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重症新型冠状病毒肺炎:是急性呼吸窘迫综合征吗?

李旭 马晓春

李旭, 马晓春. 重症新型冠状病毒肺炎:是急性呼吸窘迫综合征吗?[J]. 协和医学杂志, 2021, 12(2): 184-188. doi: 10.3969/j.issn.1674-9081.2021.01.005
引用本文: 李旭, 马晓春. 重症新型冠状病毒肺炎:是急性呼吸窘迫综合征吗?[J]. 协和医学杂志, 2021, 12(2): 184-188. doi: 10.3969/j.issn.1674-9081.2021.01.005
LI Xu, MA Xiao-chun. Severe Coronavirus Disease 2019: Is It Acute Respiratory Distress Syndrome?[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 184-188. doi: 10.3969/j.issn.1674-9081.2021.01.005
Citation: LI Xu, MA Xiao-chun. Severe Coronavirus Disease 2019: Is It Acute Respiratory Distress Syndrome?[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 184-188. doi: 10.3969/j.issn.1674-9081.2021.01.005

重症新型冠状病毒肺炎:是急性呼吸窘迫综合征吗?

doi: 10.3969/j.issn.1674-9081.2021.01.005
详细信息
    通讯作者:

    马晓春  电话:024-83282631,E-mail:xcma2972@sina.com

  • 中图分类号: R18; R441.9

Severe Coronavirus Disease 2019: Is It Acute Respiratory Distress Syndrome?

More Information
    Corresponding author: MA Xiao-chun  Tel: 86-24-83282631, E-mail: xcma2972@sina.com
  • 摘要: 新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)在全球暴发流行,危害严重。虽然目前临床研究和尸检结果提高了人们对COVID-19的认识,但仍存在诸多争议,最大的争议之一即为重症COVID-19是否可诊断为急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)。重症COVID-19符合ARDS柏林标准,但与其他原因导致的ARDS存在诸多不同之处,包括发病晚、部分患者肺顺应性相对正常、高碳酸血症出现较早、肺CT表现和肺凝血活化明显。目前对COVID-19相关ARDS的分型多基于观察性研究,偏倚较大。至今其病理生理过程尚未明确,过早分型可能误导机械通气策略,期待大样本临床研究结果带来更多证据。
    作者贡献:李旭负责撰写文章初稿;马晓春负责选题设计和文章审校。
    利益冲突:  无
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出版历程
  • 收稿日期:  2020-08-13
  • 录用日期:  2020-09-17
  • 网络出版日期:  2020-12-01
  • 刊出日期:  2021-05-30

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