Rabanal Llevot J M, Díaz-Regañón Valverde G, Quesada Suescun A, González Fernández I, Solares González G
Rev Esp Anestesiol Reanim. 1989 Sep-Oct;36(5):282-5.
Two patients with respiratory failure were treated with independent lung ventilation (ILV). During their clinical course they developed atelectasis without response to usual therapies. The use of ILV and selective positive end-expiratory pressure (S-PEEP) allowed lung expansion and oxymetric improvement. With the ILV plus S-PEEP we tried to correct the abnormal ventilation/perfusion ratio. ILV plus S-PEEP increases both the ventilation in the highly perfused areas, and the functional residual capacity selectively in the pathologic lung in unilateral affection cases.
两名呼吸衰竭患者接受了独立肺通气（ILV）治疗。在其临床过程中，他们出现了肺不张，对常规治疗无反应。使用ILV和选择性呼气末正压（S-PEEP）可使肺扩张并改善血氧测定结果。我们尝试通过ILV加S-PEEP来纠正异常的通气/灌注比。在单侧病变病例中，ILV加S-PEEP可增加高灌注区域的通气量，并选择性地增加病变肺的功能残气量。
