Chiolero R
Service d'anesthésiologie, Soins intensifs de chirurgie, Centre hospitalier universitaire vaudois, Lausanne.
Schweiz Med Wochenschr. 1989 Mar 18;119(11):368-70.
The main goal of mechanical ventilation in trauma patients is to optimize tissue oxygen delivery. Specific technics are used when indicated, i.e. curarization in shocked patients, hyperventilation in head injured patients with intracranial hypertension, independent lung ventilation in asymmetric lung injury or in bronchopleural fistula, and high frequency ventilation in bronchopleural fistula.
创伤患者机械通气的主要目标是优化组织氧输送。在有指征时采用特定技术,即休克患者使用肌松剂、颅内高压的颅脑损伤患者进行过度通气、不对称肺损伤或支气管胸膜瘘患者采用独立肺通气,以及支气管胸膜瘘患者采用高频通气。