《2000ATS/ERS国际共识声明:特发性肺纤维化的诊断和治疗》内容预览
OBJECTIVE
This is an international consensus statement defining the diag- nosis, evaluation, and management of patients with IPF that has been produced as a collaborative effort from the Ameri- can Thoracic Society (ATS), European Respiratory Society (ERS), and the American College of Chest Physicians (ACCP). The purpose of this consensus statement is to provide assis- tance to clinicians in the diagnosis and management of idio- pathic pulmonary fibrosis (IPF). The targeted providers are pulmonary subspecialists.
PARTICIPANTS Panel members are experts in adult pulmonary diseases. Panel members were nominated by the supporting associations. The chair was selected by the American Thoracic Society. Panel members were selected because of an interest and expertise in the interstitial lung disease and to provide a range of opinions, expertise, and geography.
EVIDENCE
The expert panel was provided with background articles that reviewed the existing scientific evidence. Relevant articles from the medical literature were identified by a MedLine search (1966 to December 1998) of English language articles or arti- cles with English abstracts, the bibliographies of the articles retrieved, and the authors’ files. In addition, articles in other languages were also obtained from the bibliographies of the articles retrieved and were reviewed or translated by pulmo- nary physicians knowledgeable in this area. All articles in which IPF was identified were included in this review. More than 3,500 published reports were critically reviewed for infor- mation on IPF, including its physiologic, radiologic, and patho- logical findings; its pathogenesis, epidemiology, clinical pre- sentation, and staging; its inheritance or familial occurrence; its treatment (including lung transplant); and its prognosis. The panel was divided into subgroups responsible for the review of the data and writing of a specific section of the state-ment. The final statement was drafted after a series of meet-ings of the entire committee.
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急性呼衰并予人工通气的病人病情常常危重并多不能经口进食,合并心功能不全及胸...[详细]