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呼气末正压通气引起的血流动力学改变:肺血管系统的作用

Hemodynamic alterations with positive end-expiratory pressure: the contribution of the pulmonary vasculature.

作者信息

Hobelmann C F, Smith D E, Virgilio R W, Shapiro A R, Peters R M

出版信息

J Trauma. 1975 Nov;15(11):951-9. doi: 10.1097/00005373-197511000-00002.

DOI:10.1097/00005373-197511000-00002
PMID:1104889
Abstract

The hemodynamic responses to positive end-expiratory pressure (PEEP) ventilation have been evaluated. A rise in pulmonary capillary wedge pressure which follows the use of PEEP may not reflect changes in left atrial pressure and may be associated with a fall in cardiac output. This increase in pulmonary capillary wedge pressure suggests that there is a high resistance to flow in the pulmonary circulation and that a lower level of PEEP should be used.

摘要

对呼气末正压(PEEP)通气的血流动力学反应已得到评估。使用PEEP后肺毛细血管楔压升高可能并不反映左心房压力的变化,且可能与心输出量下降有关。肺毛细血管楔压的这种升高表明肺循环中存在高血流阻力,因此应使用较低水平的PEEP。

相似文献

1
Hemodynamic alterations with positive end-expiratory pressure: the contribution of the pulmonary vasculature.呼气末正压通气引起的血流动力学改变:肺血管系统的作用
J Trauma. 1975 Nov;15(11):951-9. doi: 10.1097/00005373-197511000-00002.
2
Hemodynamic response to positive end-expiratory pressure following right atrium-pulmonary artery bypass (Fontan procedure).右心房-肺动脉分流术(Fontan手术)后呼气末正压通气的血流动力学反应。
J Thorac Cardiovasc Surg. 1984 Jun;87(6):856-61.
3
The use of positive end-expiratory pressure (PEEP) for respiratory support.使用呼气末正压(PEEP)进行呼吸支持。
Surg Clin North Am. 1974 Oct;54(5):1125-36. doi: 10.1016/s0039-6109(16)40442-1.
4
[Study of the effects on the heart function when different positive end expiratory pressure levels were used on patients treated with mechanical ventilation].[关于机械通气治疗患者使用不同呼气末正压水平时对心脏功能影响的研究]
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2007 Feb;19(2):86-9.
5
The effect of pre-existing pulmonary vascular disease on the response to mechanical ventilation with PEEP following open-heart surgery.心脏直视手术后,既往存在的肺血管疾病对使用呼气末正压通气(PEEP)进行机械通气反应的影响。
Anesthesiology. 1975 Jan;42(1):56-67. doi: 10.1097/00000542-197501000-00010.
6
[Haemodynamic changes during artificial ventilation with and without positive end-expiratory pressure in respiratory insufficiency (author's transl)].呼吸功能不全时有无呼气末正压人工通气期间的血流动力学变化(作者译)
Prakt Anaesth. 1978 Aug;13(4):261-6.
7
"Hyper-" end-expiratory pressure in the treatment of adult respiratory insufficiency: a case report.“高”呼气末正压在成人呼吸功能不全治疗中的应用:一例报告
Anesth Analg. 1975 Jan-Feb;54(1):31-4. doi: 10.1213/00000539-197501000-00005.
8
Redistribution of pulmonary blood flow induced by positive end-expiratory pressure and dopamine infusion in acute respiratory failure.呼气末正压通气及多巴胺输注对急性呼吸衰竭患者肺血流再分布的影响
Am Rev Respir Dis. 1984 Jan;129(1):39-44. doi: 10.1164/arrd.1984.129.1.39.
9
Physiologic consequences of positive end-expiratory pressure (PEEP) ventilation.呼气末正压(PEEP)通气的生理后果
Ann Surg. 1973 Sep;178(3):265-72. doi: 10.1097/00000658-197309000-00005.
10
Effect of different respirator adjustments on central haemodynamics in open-heart surgery patients.不同呼吸机调整对心脏直视手术患者中心血流动力学的影响。
Acta Anaesthesiol Scand. 1977;21(3):200-10. doi: 10.1111/j.1399-6576.1977.tb01210.x.

引用本文的文献

1
Positive pressure ventilation improves oxygen saturation at altitude during recreational aviation: A pilot study.正压通气可改善休闲飞行过程中高海拔地区的血氧饱和度:一项飞行员研究。
Physiol Rep. 2025 Feb;13(3):e70210. doi: 10.14814/phy2.70210.
2
Effect of PEEP on gas exchange, pulmonary mechanics, and hemodynamics in adult respiratory distress syndrome (ARDS).呼气末正压通气对成人呼吸窘迫综合征(ARDS)气体交换、肺力学和血流动力学的影响。
Intensive Care Med. 1981;7(4):177-85. doi: 10.1007/BF01724838.
3
Effect of positive end-expiratory pressure on intrapulmonary shunt at different levels of fractional inspired oxygen.
呼气末正压对不同吸入氧分数水平下肺内分流的影响。
Thorax. 1980 Mar;35(3):181-5. doi: 10.1136/thx.35.3.181.
4
Left ventricular external constraint: relationship between pericardial, pleural and esophageal pressures during positive end-expiratory pressure and volume loading in dogs.左心室外部约束:犬在呼气末正压通气和容量负荷期间心包、胸膜和食管压力之间的关系
Ann Biomed Eng. 1987;15(3-4):331-46. doi: 10.1007/BF02584288.
5
The effects of PEEP on arterial oxygenation. An examination of some possible mechanisms.呼气末正压通气对动脉氧合的影响。对一些可能机制的研究。
Intensive Care Med. 1977 Dec;3(4):267-71. doi: 10.1007/BF01641118.
6
Hypertonic mannitol in the therapy of the acute respiratory distress syndrome.高渗甘露醇在急性呼吸窘迫综合征治疗中的应用
Ann Surg. 1977 Jun;185(6):619-25. doi: 10.1097/00000658-197706000-00002.