ARDS呼吸功能监测与通气策略抉择 邱海波邱海波 刘玲刘玲东南大学附属中大医院东南大学附属中大医院ICUICU内容提要 Physiopathologic course of ARDS and the dilemma in Mechanical ventilationOxygenation and ShuntRespiratory mechanicsCompliance(Elastance)and ResistanceStress indexEsophageal PressureVd/VtTherapeutic target of MV in ARDSBecome evident over the past two decadesMV itself can augment or cause pulmonary damageShift of therapeutic target of MV in ARDS 1970sNormal gas exchange1980-1990Protection of thelung from VILIN Engl J Med 1972;287:799-806