通过肺差异通气治疗大面积单侧肺栓塞
Treatment of massive unilateral pulmonary embolism by differential lung ventilation.
作者信息
Zandstra D F, Stoutenbeek C P
机构信息
Institute of Anaesthesiology and Intensive Care, Academic Hospital of Groningen, The Netherlands.
出版信息
Intensive Care Med. 1987;13(6):422-4. doi: 10.1007/BF00257689.
A patient with massive unilateral pulmonary embolism was treated with thrombolytic therapy and differential lung ventilation and selective PEEP. Differential lung ventilation affords besides therapy, selective monitoring of VCO2. Effects of thrombolytic therapy and SPEEP were evaluated by monitoring differential VCO2. Hypercapnia persisting in spite of conventional mechanical ventilation reduced remarkably after starting differential lung ventilation with selective PEEP on the noninjured lung.
一名患有大面积单侧肺栓塞的患者接受了溶栓治疗、差异肺通气和选择性呼气末正压通气。差异肺通气除了具有治疗作用外，还能选择性监测二氧化碳排出量（VCO2）。通过监测差异VCO2来评估溶栓治疗和选择性呼气末正压通气的效果。尽管进行了传统机械通气，但高碳酸血症仍持续存在，在对未受伤侧肺开始采用选择性呼气末正压通气进行差异肺通气后，高碳酸血症显著减轻。
Zotero 插件