Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
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Nihon Kokyuki Gakkai Zasshi · Dec 2006
Case Reports[A case of idiopathic ARDS treated by sivelestat sodium and fluid management based on extravascular lung water index].
A 65-year-old woman was given emergency admission with fever, cough and dyspnea. Chest computed tomography (CT) findings showed bilateral ground-glass opacity, consolidation, and this case were fulfilled the criteria for acute respiratory distress syndrome (ARDS). ⋯ We found this treatment quite effective because there were significant improvements in the extravascular lung water index (EVLWI) measured by the PiCCO system and neutrophile elastase value and in oxygenation and the chest radiograph. This is apparently the first case report in the literature that clearly shows the treatment with sivelestat sodium and strict fluid management ended in a favorable outcome, as reducing EVLWI measured by the PiCCO system in an idiopathic ARDS patient.