Acute respiratory distress syndrome after pulmonary resection

被引：28
作者：
Kometani T. [1 ,2 ]
Okamoto T. [1 ,3 ]
Yoshida S. [1 ]
Yoshino I. [1 ]
机构：
[1] Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba
[2] Department of Thoracic Surgery, National Hospital Organization Oita Medical Hospital, Oita
[3] Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka
来源：
General Thoracic and Cardiovascular Surgery | 2013年 / 61卷 / 9期
关键词：
Acute lung injury; Acute respiratory distress syndrome; Pirfenidone; Pulmonary resection; Sivelestat sodium hydrate;
D O I：
10.1007/s11748-013-0276-7
中图分类号：
学科分类号：
摘要：
Postoperative acute respiratory distress syndrome (ARDS) is a recognized complication of pulmonary resection. It is characterized by the acute onset of hypoxemia with radiographic infiltrates consistent with pulmonary edema, without elevations in the pulmonary capillary wedge pressure. Many studies suggest that around 2-5 % of patients develop some degree of lung injury, and the mortality from ARDS following pulmonary resection remains high. ARDS following thoracotomy and lung resection has a miserable prognosis, with overall hospital mortality rates over 25 %. The present review evaluates the evidence available in the literature tracking perioperative mortality and morbidity as well as the pathogenesis and management of ARDS in patients undergoing pulmonary resection. © 2013 The Japanese Association for Thoracic Surgery.
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收藏
页码：504 / 512
页数：8
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