Jette N T, Barash P G
Anaesthesia. 1977 May;32(5):475-9. doi: 10.1111/j.1365-2044.1977.tb09986.x.
A patient with flail-chest injury, and associated abdominal and musculo-skeletal trauma, required several modes of mechanical ventilation in the Surgical Intensive Care Unit Ventilator modalities included mechanical ventilation with positive end-expiratory pressure (PEEP) and intermittent mandatory ventilation (IMV) with continuous positive airway pressure (CPAP) during 12 days of intensive respiratory care. This treatment has resulted from an evolution of ideas about pathophysiology and treatment of the flail-chest injury. Future developments portend a shorter duration of ventilatory support; alternatively, a radically new mode of therapy may simplify the care of the flail-chest injured patient.
一名连枷胸损伤合并腹部及肌肉骨骼创伤的患者，在外科重症监护病房需要多种机械通气模式。在为期12天的重症呼吸护理期间，通气模式包括呼气末正压（PEEP）机械通气以及持续气道正压（CPAP）下的间歇强制通气（IMV）。这种治疗方法源于对连枷胸损伤病理生理学及治疗理念的演变。未来的发展预示着通气支持时间将缩短；或者，一种全新的治疗模式可能会简化连枷胸损伤患者的护理。
