Morishita A, Hoshino K, Katahira S, Tomioka H
Department of Cardiovascular Surgery, Numata Neurosurgery Heart-Disease Hospital, Numata, Japan.
Kyobu Geka. 2008 Nov;61(12):1039-42.
It is important to establish the lung protective strategy strictly for serious respiratory failure after cardiac surgery, because the hemodynamic state is unstable. High frequency jet ventilation (HFJV) was introduced in 5 patients with respiratory failure after cardiac surgery. Two had been diagnosed with acute aortic dissection and 3 with angina pectorlis. Off pump coronary artery bypass grafting was performed in 2 patients. Hemodynamic variables during HFJV were stable, and the duration of HFJV was 9 to 45 hours. Oxygenations improved immediately by the introduction of HFJV in all patients, and no adverse effect was recognized. Therefore, use of HFJV immediately after cardiac surgery might be an effective respiratory therapy of choice for patients with acute lung injury.
由于血流动力学状态不稳定，严格制定心脏手术后严重呼吸衰竭的肺保护策略非常重要。对5例心脏手术后呼吸衰竭患者采用了高频喷射通气（HFJV）。其中2例诊断为急性主动脉夹层，3例为心绞痛。2例患者接受了非体外循环冠状动脉旁路移植术。HFJV期间血流动力学变量稳定，HFJV持续时间为9至45小时。所有患者引入HFJV后氧合立即改善，未发现不良反应。因此，心脏手术后立即使用HFJV可能是急性肺损伤患者有效的呼吸治疗选择。
