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[关于使用通气图形监测以优化急性呼吸窘迫综合征患者呼吸管理参数的分析]

[An analysis of using the graphic monitoring of ventilation for an optimal choice of respiratory management parameters in patients with acute respiratory distress syndrome].

作者信息

Gritsan A I, Kolesnichenko A P, Skorobogatov A Iu, Gritsan G V

出版信息

Anesteziol Reanimatol. 2004 Jul-Aug(4):59-63.

PMID:15468562
Abstract

The potentialities of graphic ventilation monitoring (graphic monitor "Servo Screen 390", Siemens Elema, Sweden) were analyzed for optimizing the respiratory management parameters in 48 obstetric and gynecology patients with acute respiratory distress syndrome (ARDS). The ventilation loops and curves, ALV parameters, mechanical lung properties, gas blood composition and gas indices were dynamically evaluated during examination stages. The graphic ventilation monitoring, when used for respiratory management in patients with ARDS, provides for optimizing, in the real time mode, the PEEP and Vt levels, which is in line with the AVL "safety" concept.

摘要

分析了图形通气监测(图形监测仪“Servo Screen 390”,瑞典西门子Elema公司)在优化48例妇产科急性呼吸窘迫综合征(ARDS)患者呼吸管理参数方面的潜力。在检查阶段动态评估通气环和曲线、肺泡水平衡(ALV)参数、机械肺特性、气血成分和气体指标。图形通气监测用于ARDS患者的呼吸管理时,可实时优化呼气末正压(PEEP)和潮气量(Vt)水平,这与肺泡水平衡(AVL)“安全”概念相符。

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