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机械通气撤机困难。

Difficult weaning from mechanical ventilation.

作者信息

Chevrolet J C

机构信息

Division de pneumologie, Hôpital Cantonal Universitaire, Geneva, Switzerland.

出版信息

Lung. 1990;168 Suppl:829-32. doi: 10.1007/BF02718216.

DOI:10.1007/BF02718216
PMID:2117200
Abstract

Difficult weaning is fortunately a rare occurrence in mechanically ventilated patients in ICU. When faced with this problem, a vast number of factors must be carefully considered simultaneously: physiological adjustment, technical problems (tubing, circuit resistances, . . .) [13]. The most promising approach to difficult weaning to date centers on the respiratory muscle function which represents the most common factor allowing weaning success or failure.

摘要

幸运的是,在重症监护病房接受机械通气的患者中,脱机困难的情况很少见。当面对这个问题时,必须同时仔细考虑大量因素:生理调节、技术问题(管道、回路阻力等)[13]。迄今为止,解决脱机困难最有前景的方法集中在呼吸肌功能上,呼吸肌功能是决定脱机成功或失败的最常见因素。

相似文献

1
Difficult weaning from mechanical ventilation.机械通气撤机困难。
Lung. 1990;168 Suppl:829-32. doi: 10.1007/BF02718216.
2
The pulmonary physician in critical care. 10: difficult weaning.重症监护中的肺科医生。10:困难撤机
Thorax. 2002 Nov;57(11):986-91. doi: 10.1136/thorax.57.11.986.
3
Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial.无创机械通气用于慢性阻塞性肺疾病所致呼吸衰竭患者的撤机:一项随机对照试验
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4
Survival and prediction of successful ventilator weaning in COPD patients requiring mechanical ventilation for more than 21 days.需要机械通气超过21天的慢性阻塞性肺疾病(COPD)患者的呼吸机撤离成功率及预测因素
Eur Respir J. 1994 Sep;7(9):1645-52. doi: 10.1183/09031936.94.07091645.
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Work of breathing as a weaning parameter in mechanically ventilated patients.作为机械通气患者撤机参数的呼吸功
Chest. 1995 Oct;108(4):1018-20. doi: 10.1378/chest.108.4.1018.
6
Mechanical ventilation of the patient with chronic obstructive pulmonary disease.慢性阻塞性肺疾病患者的机械通气
Respir Care Clin N Am. 1998 Sep;4(3):439-73.
7
Serial physiologic studies of a chronic obstructive pulmonary disease patient in acute respiratory failure: clues for weaning?对一名急性呼吸衰竭慢性阻塞性肺疾病患者的系列生理学研究:撤机线索?
Respiration. 1990;57(2):122-6. doi: 10.1159/000195832.
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Weaning from artificial ventilation.脱离人工通气
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[Mechanical ventilation in acute respiratory insufficiency in patients with chronic obstructive lung diseases].[慢性阻塞性肺疾病患者急性呼吸功能不全的机械通气]
Ugeskr Laeger. 1998 Aug 31;160(36):5167-70.
10
Patient-ventilator trigger asynchrony in prolonged mechanical ventilation.长期机械通气中的患者-呼吸机触发不同步
Chest. 1997 Dec;112(6):1592-9. doi: 10.1378/chest.112.6.1592.

引用本文的文献

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Oxidative stress is required for mechanical ventilation-induced protease activation in the diaphragm.氧化应激是机械通气诱导膈肌蛋白酶激活所必需的。
J Appl Physiol (1985). 2010 May;108(5):1376-82. doi: 10.1152/japplphysiol.00098.2010. Epub 2010 Mar 4.
2
Diaphragm unloading via controlled mechanical ventilation alters the gene expression profile.通过控制性机械通气进行膈肌卸载可改变基因表达谱。
Am J Respir Crit Care Med. 2005 Nov 15;172(10):1267-75. doi: 10.1164/rccm.200503-403OC. Epub 2005 Aug 26.

本文引用的文献

1
Inspiratory muscle strength and body composition in patients receiving total parenteral nutrition therapy.接受全胃肠外营养治疗患者的吸气肌力量与身体成分
Am Rev Respir Dis. 1984 Jul;130(1):33-7. doi: 10.1164/arrd.1984.130.1.33.
2
The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation.机械通气撤机成功与失败试验期间的呼吸模式。
Am Rev Respir Dis. 1986 Dec;134(6):1111-8. doi: 10.1164/arrd.1986.134.5.1111.
3
Failure to predict six-month survival of patients with COPD requiring mechanical ventilation by analysis of simple indices. A prospective study.
Chest. 1987 Dec;92(6):971-8. doi: 10.1378/chest.92.6.971.
4
Tracheal occlusion pressure: a simple index to monitor respiratory muscle fatigue during acute respiratory failure in patients with chronic obstructive pulmonary disease.气管闭塞压:监测慢性阻塞性肺疾病患者急性呼吸衰竭时呼吸肌疲劳的一个简单指标。
Ann Intern Med. 1988 Jun;108(6):800-5. doi: 10.7326/0003-4819-108-6-800.
5
Discontinuation of mechanical ventilation.机械通气的停止
Clin Chest Med. 1988 Mar;9(1):113-26.
6
Weaning from mechanical ventilation.机械通气撤机
Am Rev Respir Dis. 1988 Oct;138(4):1043-6.
7
Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction.
J Appl Physiol (1985). 1988 Oct;65(4):1488-99. doi: 10.1152/jappl.1988.65.4.1488.
8
Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation.机械通气撤机失败期间的急性左心室功能障碍
Anesthesiology. 1988 Aug;69(2):171-9. doi: 10.1097/00000542-198808000-00004.
9
Additional work of breathing imposed by endotracheal tubes, breathing circuits, and intensive care ventilators.气管内导管、呼吸回路和重症监护呼吸机增加的呼吸功。
Crit Care Med. 1989 Jul;17(7):671-7. doi: 10.1097/00003246-198907000-00015.
10
A prospective comparison of IMV and T-piece weaning from mechanical ventilation.机械通气撤机中IMV与T形管撤机的前瞻性比较。
Chest. 1989 Aug;96(2):348-52. doi: 10.1378/chest.96.2.348.