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[使用血流图评估肺结核手术患者长时间人工肺通气的充分性]

[The use of rheography for assessing the adequacy of prolonged artificial ventilation of the lungs in patients undergoing surgery of pulmonary tuberculosis].

作者信息

Nefedov V B, Dzhunusbekov A D, Tuleshova E S

出版信息

Probl Tuberk. 1990(8):34-7.

PMID:2255694
Abstract

When prolonged end-expired-air positive pressure ventilation (EEPPV) is performed to prevent possible respiratory complications after operation for pulmonary tuberculosis, thorough monitoring of the circulation system seems to be necessary since EEPPV affects the cardiovascular system. In this case rheography makes it possible to objectively assess the hemodynamics and phasic pattern of heart performance. An optimum regimen of EEPPV is that which ensures a maximum increase of the pulmonary ventilation in each zone, including the best blood oxygenation without negative action of EEPPV on circulation. EEPPV below 10 sm H2O is recommended for patients with disseminated and complicated tuberculosis.

摘要

为预防肺结核手术后可能出现的呼吸并发症而进行长时间呼气末正压通气(EEPPV)时,由于EEPPV会影响心血管系统,因此似乎有必要对循环系统进行全面监测。在这种情况下,血流图检查能够客观地评估血流动力学及心脏功能的相位模式。EEPPV的最佳方案是确保每个区域的肺通气量最大程度增加,包括实现最佳的血液氧合,同时EEPPV对循环系统无负面影响。对于播散性和复杂性肺结核患者,建议采用低于10 cmH₂O的EEPPV。

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