Saenghirunvattana S, Charoenpan P, Buranaratchada S
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1990 May;73(5):249-52.
Our study demonstrates that bronchoalveolar lavage can induce significant desaturation in patients with a resting PaO2 of below 70 torr, and that supplemental oxygen at 5 L/min through a nasal cannula may not prevent a marked drop in the oxygen saturation during this procedure. Therefore, measures to provide higher FiO2 should be offered to assure adequate oxygenation in severely ill patients requiring bronchoalveolar lavage.
我们的研究表明,支气管肺泡灌洗可导致静息动脉血氧分压(PaO2)低于70托的患者出现明显的低氧血症,并且在此过程中通过鼻导管以5升/分钟的流量补充氧气可能无法防止氧饱和度显著下降。因此,对于需要进行支气管肺泡灌洗的重症患者,应采取措施提供更高的吸入氧分数(FiO2)以确保充分的氧合。