???

?

?37??



caffeine??amino-phylline??????????????????4750?????????????????????????????????

??

????????????????????????????????????????????????????????????????????

?

??????15000??????????????????????????????????????????????35mg/kg?????????????654-2??????????20??12g/kg50?0.51g/kg??????????...

??????ARDS?????????????????????????????????????1992?????1992??1994??ALIARDS??????

ARDS??

PaO/FiO26.7kPa(200mmHg)??ALI?

1995????????ARDS???

1.?ARDS?

2.ARDS??5?

??2025/?

?FiO20.21PaO29.31kPa(70mmHg),7.8kPa(60mmHg)

PaO2/FiO239.9kPa(300mmHg)

PA-aO2(FiO20.21)3.326.65kPa(2550mmHg)

?

...

?????1-14??2-5??????????????2???????????????????????????????????????????????2??50-70%????????????????????1-2??????????38??????
?????2???????]??????????????????????????????}????????????

???1???????????????????????????????NaCl???NaC1????NaCl??????????????NaCl?Na+???Na+???Na+-K+Na+-H+?K+H+?????Cl??????????Na-KATP??NaCl?????????NaC1????????NaCl????K????Ca2Mg2?Ca2Mg2????(2)?????????????E2?????????????????????????????????????-???????????????????????????????????????
????60%~70%??????????...

tid---??
bid?2
qid?4
qd??
qn?
qm?
???????

??   2009-07-31 17:00 ?????z????z..
???   2009-08-01 12:23 ARDS ??? CAP ? COPD ? IPF ??? HAP ??? PAP ??? PIE ? PTE ? TB PCP ?? AVB ? Af ASD ? AI AS ASO ?? AT AMI ? AP ?? APB B...