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高频通气:其各种技术及临床应用。

High-frequency ventilation: its various techniques and clinical applications.

作者信息

Null D M, Ackerman N B, Gerstmann D R, Meredith K S, deLemos R A

机构信息

Neonatology Service, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas.

出版信息

Aviat Space Environ Med. 1988 Nov;59(11 Pt 2):A81-2.

PMID:3202808
Abstract

High-frequency ventilation can be considered to be ventilation with a tidal volume close to or less than the anatomical dead space. The various techniques of high-frequency ventilation will be discussed including high-frequency positive pressure ventilation, high-frequency jet ventilation or high-frequency flow interruption, and high-frequency oscillatory ventilation. The clinical application of the various types of high-frequency ventilation will be discussed including their use during surgical procedures, their use for various kinds of barotrauma, their usefulness in respiratory failure, their use in newborns with hyaline membrane disease, and their usefulness for respiratory support in emergency situations involving cardiopulmonary resuscitation. The potential use for high-frequency ventilation in the management of battlefield casualties and air evacuation of critically ill patients will also be discussed.

摘要

高频通气可被认为是潮气量接近或小于解剖无效腔的通气方式。将讨论高频通气的各种技术,包括高频正压通气、高频喷射通气或高频气流阻断以及高频振荡通气。还将讨论各类高频通气的临床应用,包括其在外科手术中的应用、对各种气压伤的应用、在呼吸衰竭中的作用、在患有透明膜病的新生儿中的应用以及在涉及心肺复苏的紧急情况下用于呼吸支持的作用。还将讨论高频通气在战场伤员救治和危重症患者空中转运管理中的潜在用途。

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