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Síndrome de dificultad respiratoria aguda - Symptom

Nombres alternativos

Edema pulmonar no cardiógeno; Edema pulmonar con aumento de la permeabilidad; Pulmón en shock; Pulmón rígido; SDRA; Lesión pulmonar aguda

Síntomas:

  • Respiración rápida y difícil
  • Presión arterial baja e insuficiencia orgánica
  • Dificultad para respirar

Los síntomas generalmente se desarrollan dentro de las 24 a 48 horas posteriores a la lesión o enfermedad original. A menudo, las personas con SDRA están tan enfermas que no son capaces de quejarse de los síntomas.

Signos y exámenes:

Escuchar el tórax con un estetoscopio ( auscultación) revela ruidos respiratorios anormales, como crepitaciones que sugieren la presencia de líquido en los pulmones. A menudo, la presión arterial está baja y con frecuencia se observa cianosis (coloración azulada de la piel, los labios y las uñas, causada por la falta de oxígeno a los tejidos).

Los exámenes empleados en el diagnóstico del SDRA abarcan:

Ocasionalmente, puede ser necesario efectuar una ecocardiografía o un cateterismo de Swan-Ganz para descartar insuficiencia cardíaca congestiva, que puede tener una apariencia similar al SDRA en una radiografía de tórax.

  • Reviewed last on: 1/22/2010
  • Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine, UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders; 2008.
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