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[使用呼气末正压有效纠正肺炎中的肺过度充气]

[Effective correction of lung hyperinflation in pneumonia using positive end-expiratory pressure].

作者信息

Dukov L G, Titova E A, Mal'chenko T D, Enina N V

出版信息

Ter Arkh. 1999;71(3):38-41.

PMID:10234763
Abstract

AIM

Study of PEEP effects on breathing biomechanics in patients with pneumonia.

MATERIALS AND METHODS

In 37 patients with pneumonia breathing biomechanics was studied using Masterlab (Jaeger). PEEP (3-10 cm H2O) was employed during 20 min.

RESULTS

Sputum expectoration, expiration and inspiration were improved, lung hyperventilation observed in pneumonia reduced after PEEP.

CONCLUSION

There is early expiration obstruction of the airways in pneumonia. PEEP removes this obstruction through control of lung hyperinflation. Thus, PEEP can be applied in the treatment of pneumonia.

摘要

目的

研究呼气末正压(PEEP)对肺炎患者呼吸生物力学的影响。

材料与方法

对37例肺炎患者使用Masterlab(耶格公司)研究其呼吸生物力学。应用3 - 10厘米水柱的PEEP持续20分钟。

结果

咳痰、呼气和吸气功能得到改善,PEEP后肺炎患者中观察到的肺过度通气减少。

结论

肺炎存在气道早期呼气性梗阻。PEEP通过控制肺过度充气消除这种梗阻。因此,PEEP可应用于肺炎的治疗。

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