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评估机械通气新生儿肺力学的床旁方法比较:充气压力、通气量及光学顺应性与实测顺应性的比较

Comparison of bedside methods to assess lung mechanics in ventilated neonates: inflation pressure, amount of ventilation and optical compliance versus measured compliance.

作者信息

Aufricht C, Kohlhauser C, Simbruner G

机构信息

Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Vienna.

出版信息

Wien Klin Wochenschr. 1990 May 11;102(10):307-9.

PMID:2192497
Abstract

Compliance of the respiratory system (CRS) is rarely measured in the critically ill neonate. Instead, inflation pressure (dP), amount of ventilation (dPxfr) and optical CRS are used as indirect parameters to characterize lung mechanics. In 30 randomly chosen newborns ventilated for various causes we investigated which of these bedside methods most accurately represents the compliance of the respiratory system. The correlation coefficient was much higher for the optically determined compliance (r = 0.91) than for the amount of ventilation (r = 0.67) or the inflation pressure alone (r = 0.46) versus the measured static compliance of the respiratory system.

摘要

危重新生儿很少测量呼吸系统顺应性(CRS)。相反,充气压力(dP)、通气量(dPxfr)和光学CRS被用作表征肺力学的间接参数。在30例因各种原因接受通气的随机选择的新生儿中,我们研究了这些床边方法中哪一种最准确地代表呼吸系统顺应性。与测量的呼吸系统静态顺应性相比,光学测定的顺应性(r = 0.91)的相关系数远高于通气量(r = 0.67)或单独的充气压力(r = 0.46)。

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Comparison of bedside methods to assess lung mechanics in ventilated neonates: inflation pressure, amount of ventilation and optical compliance versus measured compliance.评估机械通气新生儿肺力学的床旁方法比较:充气压力、通气量及光学顺应性与实测顺应性的比较
Wien Klin Wochenschr. 1990 May 11;102(10):307-9.
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