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通过电阻抗断层成像评估急性呼吸窘迫综合征中的局部通气情况。

Assessment of regional ventilation in acute respiratory distress syndrome by electrical impedance tomography.

作者信息

Stankiewicz-Rudnicki Michał, Gaszyński Tomasz, Gaszyński Wojciech

机构信息

Department of Anaesthesiology and Intensive Therapy, Medical University in Łódź, Poland.

出版信息

Anaesthesiol Intensive Ther. 2015;47(1):77-81. doi: 10.5603/AIT.2015.0007.

Abstract

Mechanical ventilation in acute respiratory distress syndrome (ARDS) incurs a risk of ventilator-associated lung injury (VALI) from inhomogeneous conditions and different properties of dependent and non-dependent lung regions at risk of atelectasis and overdistension, respectively. Electrical impedance tomography (EIT) offers regional ventilation assessment to optimise treatment with mechanical ventilation. This article provides an overview of scientific literature on the application of impedance tomography in acute respiratory distress syndrome. It also presents the results of EIT studies in different clinical situations that may be of use in implementing impedance tomography for treating ARDS.

摘要

急性呼吸窘迫综合征(ARDS)中的机械通气会因肺低垂部位和非低垂部位的不均匀状况及不同特性,分别面临肺不张和过度扩张风险,从而引发呼吸机相关性肺损伤(VALI)。电阻抗断层成像(EIT)可进行区域通气评估,以优化机械通气治疗。本文概述了关于电阻抗断层成像在急性呼吸窘迫综合征中应用的科学文献。还介绍了EIT在不同临床情况下的研究结果,这些结果可能有助于在治疗ARDS时应用阻抗断层成像。

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