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呼气末正压与“反向不匹配”。一个呼气末正压越低越好的病例。

PEEP and "reverse mismatch". A case where less PEEP is best.

作者信息

Hawker F H, Torzillo P J, Southee A E

机构信息

Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

出版信息

Chest. 1991 Apr;99(4):1034-6. doi: 10.1378/chest.99.4.1034.

DOI:10.1378/chest.99.4.1034
PMID:2009760
Abstract

A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved.

摘要

对一名正在接受间歇正压通气(IPPV)和呼气末正压通气(PEEP)的左肺下叶萎陷患者进行了通气/灌注(V/Q)肺扫描。结果显示萎陷肺叶无通气但血流灌注过多。将呼气末正压从12厘米水柱降至5厘米水柱后,重复进行的通气/灌注扫描显示肺灌注分布更为均匀。动脉低氧血症有所改善。

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