采用高频振荡通气成功治疗肺切除术后急性呼吸窘迫综合征患者。

Successful treatment of a patient with ARDS after pneumonectomy using high-frequency oscillatory ventilation.

作者信息

Brambrink A M, Brachlow J, Weiler N, Eberle B, Elich D, Joost T, Koller M, Huth R, Heinrichs W

机构信息

Department of Anaesthesiology, Johannes Gutenberg-Universität, Langenbeckstrasse 1, D-55131 Mainz, Germany.

出版信息

Intensive Care Med. 1999 Oct;25(10):1173-6. doi: 10.1007/s001340051032.

DOI:10.1007/s001340051032

PMID:10551979

Abstract

High frequency oscillatory ventilation (HFOV) was used in a patient who developed the acute respiratory distress syndrome 5 days following a right pneumonectomy for bronchogenic carcinoma. When conventional pressure-controlled ventilation failed to maintain adequate oxygenation, HFOV dramatically improved oxygenation within the first few hours of therapy. Pulmonary function and gas exchange recovered during a 10-day period of HFOV. No negative side effects were observed. Early use of HFOV may be a beneficial ventilation strategy for adults with acute pulmonary failure, even in the postoperative period after lung resection.

摘要

一名因支气管源性癌接受右肺切除术后5天出现急性呼吸窘迫综合征的患者接受了高频振荡通气（HFOV）治疗。当传统的压力控制通气无法维持足够的氧合时，HFOV在治疗的最初几个小时内显著改善了氧合。在HFOV治疗的10天期间，肺功能和气体交换得以恢复。未观察到负面副作用。对于患有急性肺衰竭的成年人，即使在肺切除术后的恢复期，早期使用HFOV可能是一种有益的通气策略。