sepsis, ARDS
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult healthy volunteers and sepsis patients aged = 18 years old 2. Patients with sepsis combined with ARDS: Sepsis related sequential organ failure score (SOFA) = 2, with a clear site of infection. Simultaneously meeting the diagnosis of ARDS 1. Inducing factors: induced by various acute triggering factors such as pneumonia, extrapulmonary infection, trauma, aspiration, shock, blood transfusion, etc; 2. Origin of pulmonary edema: The cause of pulmonary edema should exclude pulmonary edema mainly caused by cardiogenic and fluid overload, as well as hypoxemia mainly caused by atelectasis; 3. Acute respiratory failure or worsening of respiratory failure occurs within one week after the occurrence of the triggering factor; 4. Chest X-ray or chest CT shows bilateral exudate shadows, or chest ultrasound (with well trained operators) indicates bilateral B-line or consolidation signs; 5. Oxygenation: (1) Non tracheal intubation ARDS: Based on the use of high flow oxygen therapy (flow rate = 30L/min) or NIV/CPAP with PEEP = 5cmH2O, PaO2/FiO2 = 300 mmHg or SpO2/FiO2 = 315 (SpO2 = 97%). (2) Endotracheal intubation mechanical ventilation ARDS: a. Mild: 200<PaO2/FiO2 = 300 or 235 = SpO2/FiO2 = 315 (if SpO2 = 97%); b. Moderate: 100<PaO2/FiO2 = 200 or 148<SpO2/FiO2 = 235 (if SpO2 = 97%); c. Severe: PaO2/FiO2 = 100 or SpO2/FiO2 = 148 (if SpO2 = 97%). The diagnosis is ARDS.
Exclusion criteria
Exclusion criteria: 1. Refuse the test. 2. Concomitant with other respiratory system diseases, such as bronchial asthma, chronic obstructive pulmonary disease, pulmonary nodules, pulmonary interstitial fibrosis, and other causes of ARDS or a history of lung surgery. 3. Patients with intestinal fistula. 4. Pregnant and lactating women. 5. Incomplete data collection due to any reason Cases that meet any of the above criteria are not included in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| metabolomics;Intestinal flora;Infection indicators; | — |
Countries
China
Contacts
Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine