A 49-year-old man is admitted with severe acute pancreatitis. Two days later he develops worsening hypoxemia and requires mechanical ventilation. Chest radiograph shows diffuse bilateral alveolar opacities, pulmonary capillary wedge pressure is normal, and echocardiography shows no evidence of left sided heart failure. Which of the following is the most likely diagnosis?
- A)Cardiogenic pulmonary edema
- B)Diffuse alveolar hemorrhage
- C)Acute respiratory distress syndromeGABARITO
- D)Acute eosinophilic pneumonia
- E)Pulmonary embolism
Explicação
ARDS is a form of noncardiogenic pulmonary edema caused by diffuse alveolar damage after severe systemic insults such as sepsis, trauma, or pancreatitis. Increased alveolar capillary permeability leads to protein rich fluid in the alveoli, severe shunt physiol... Ver explicação completa e trilha adaptativa →