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中华重症医学电子杂志 ›› 2025, Vol. 11 ›› Issue (01) : 22 -26. doi: 10.3877/cma.j.issn.2096-1537.2025.01.005

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重症呼吸:2024年度进展与展望
袁雪燕1, 邱海波1, 刘玲,1   
  1. 1. 210009 南京,江苏省重症医学重点实验室 东南大学附属中大医院重症医学科
  • 收稿日期:2025-02-06 出版日期:2025-02-28
  • 通信作者: 刘玲
  • 基金资助:
    国家自然科学基金项目(82270083,82470079)江苏省前沿技术研发计划项目(BF2024054)江苏省“333高层次人才培养工程”项目(LGY2022025)江苏省重点实验室项目(ZDⅩYS202205)四大慢病重大专项(2023ZD0506500)

Critical care of respiratory medicine:progress and prospects in 2024

Xueyan Yuan1, Haibo Qiu1, Ling Liu,1   

  1. 1. Jiangsu Provincial Key Laboratory of Critical Care Medicine,Department of Critical Care Medicine,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China
  • Received:2025-02-06 Published:2025-02-28
  • Corresponding author: Ling Liu
引用本文:

袁雪燕, 邱海波, 刘玲. 重症呼吸:2024年度进展与展望[J/OL]. 中华重症医学电子杂志, 2025, 11(01): 22-26.

Xueyan Yuan, Haibo Qiu, Ling Liu. Critical care of respiratory medicine:progress and prospects in 2024[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(01): 22-26.

基于急性呼吸窘迫综合征(ARDS)全球新标准的一系列回顾性研究从诊断范畴的角度阐述了新标准带来的变迁。美国胸科医师协会更新指南首次推荐激素有条件地应用为ARDS治疗带来了更多的思考。无创及有创呼吸支持策略的创新探索彰显出在特定人群中的优势,推动了重症呼吸临床实践的优化。撤机延迟的关键卡点分析突出了筛查的重要性,有助于改善撤机实践。本文对2024年度重症呼吸领域的代表性科学研究进展进行回顾。

Retrospective studies based on the new global definition of acute respiratory distress syndrome (ARDS) have elucidated the changes brought about by these new criteria from the perspective of diagnostic scope. The updated ARDS guideline from the American Thoracic Society conditionally recommend the use of glucocorticoids,providing new insights into treatment. Innovations explorations non- and invasive respiratory support strategies have demonstrated highlighted advantages in specific populations,promoting the optimization of clinical practices. The analysis of key bottlenecks in delayed weaning highlights the importance of screening,contributing to improve weaning practices. This review highlights critical scientific research advancements in the field of critical respiratory medicine in 2024.

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