Mutlu G M, Mutlu E A, Factor P
Section of Respiratory and Critical Care Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Chest. 2001 Apr;119(4):1222-41. doi: 10.1378/chest.119.4.1222.
Mechanical ventilation (MV) can be lifesaving by maintaining gas exchange until the underlying disorders are corrected, but it is associated with numerous organ-system complications, which can significantly affect the outcome of critically ill patients. Like other organ systems, GI complications may be directly attributable to MV, but most are a reflection of the severity of the underlying disease that required intensive care. The interactions of the underlying critical illness and MV with the GI tract are complex and can manifest in a variety of clinical pictures. Incorporated in this review are discussions of the most prevalent GI complications associated with MV, and current diagnosis and management of these problems.
机械通气（MV）通过维持气体交换直至潜在疾病得到纠正，从而挽救生命，但它与众多器官系统并发症相关，这些并发症会显著影响重症患者的预后。与其他器官系统一样，胃肠道并发症可能直接归因于机械通气，但大多数反映的是需要重症监护的潜在疾病的严重程度。潜在危重病和机械通气与胃肠道之间的相互作用很复杂，可表现为多种临床症状。本综述纳入了与机械通气相关的最常见胃肠道并发症以及这些问题的当前诊断和管理的讨论。
