中国成人急性呼吸窘迫综合征（ARDS）诊断与非机械通气治疗指南（2023）

中回研究型医院2023年10月第10卷第5期CHINESE RESEARCH HOSPITALS,October2023.Vdl.10.Na.59·指南与共识中国成人急性呼吸窘迫综合征(ARDS)诊断与非机械通气治疗指南(2023)中国研究型医院学会危重医学专委会宁波诺丁汉大学GRADE中心通信作者：孙同文，Email:suntongwen(@l63.com【摘要】急性呼吸窘迫综合征(ARDS)是一种致死率极高的非心源性肺水肿，近年来随着重症医学技术的飞速发展，以及新型冠状病毒感染(C0VD-19)的全球大流行，医学界对ARDS的诊断和治疗方面也有了新的认识。肺保护机械通气策略仍是其主要的且被广泛接受的治疗措施，但对于ARDS的非机械通气治疗策略，日前仍缺乏系统的总结。因此，中国研究型医院学会危重医学专委会组织国内相关学科专家，依照GRADE国际指南制定规则，对国内外相关研究进行系统性梳理、分析、讨论，最终形成本指南。【关键词】危重医学；急性呼吸窘迫综合征；非机械通气治疗；诊断；指南基金项目：中央引导地方科技发展基金(Z20221343037):河南省医学科技攻关计划省部共建重大项日(SBGJ202101015):国家自然科学基金面上项目(82172129,82172164)：郑州大学第一附属医院科研创新（卓越）团队(ZYCXTD2023006):国家重点研发计划(2023Y下C3041700):广州国家实验室科研任务项目资助(SRPG23-001):广州市科技局市校院联合资助项目(20220102044)：黑龙江省重点研发计划(GA21C011)Guidelines for diagnosis of adult acute respiratory distress syndrome (ARDS)in China andnon-mechanical ventilation treatment(2023)Special Committee of Critical Care Medicine of Chinese Research Hospital Association,GRADE Centre,University of Nottingham Ningbo ChinaASCorresponding author:SUN Tongwen,Email:suntongwen@163.comAbstract Acute respiratory distress syndrome (ARDS)is a highly lethal non-cardiogenicpulmonary edema.In recent years,with the rapid development of critical care medicine technologyand the global pandemic of coronavirus infectious disease-2019 (COVID-19),the medical communityhas gained new insights into the diagnosis and treatment of ARDS.Lung-protective mechanicalventilation remains its primary and widely accepted treatment approach.However,there is still alack of systematic summary of non-mechanical ventilation treatment strategies for ARDS.Therefore,the special committee of critical care medicine of the Chinese Research Hospital Associationorganized domestic experts in related disciplines,followed the guidelines of the GRADEinternational framework,systematically reviewed,analyzed,and discussed relevant domestic andinternational research,ultimately producing this guideline.Keywords Critical care medicine;Acute respiratory distress syndrome;Non-mechanicalventilation therapy:Diagnosis;GuidelineFund programs:the Central Govemment Guides Local Science and Technology DevelopmentFunds (Z20221343037);Medical Science and Technology Tackling Plan Provincial and MinisterialD0I:10.19450听.cmki.jcrh.2023.05.002收稿日期2023-08-26本文编辑高宏毕会阳本文同期发表在《中华急诊医学杂志》，2023,32(10)：13041318引用本文：中国研究型医院学会危重医学专委会，宁波诺丁汉大学GRADE中心，中国成人急性呼吸窘迫综合征(ARDS)诊断与非机械通气治疗指南(2023)J】.中国研究型医院.2023.1059-24.D0L:10.19450j.enki.jerh.2023.05.002.中国研究型医院学会