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.
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。
Zotero 插件