Sherry K M, Windsor J P, Feneck R O
Department of Anaesthesia, London Chest Hospital.
Anaesthesia. 1987 Dec;42(12):1276-83. doi: 10.1111/j.1365-2044.1987.tb05273.x.
The cardiorespiratory effects of intermittent positive pressure ventilation and high frequency jet ventilation with and without positive end expiratory pressure were compared in patients following valvular heart surgery (mitral and/or aortic). Twenty patients received intermittent positive pressure ventilation and high frequency jet ventilation with 0, 0.5 and 1.0 kPa positive end expiratory pressure. High frequency jet ventilation was well tolerated. The addition of 1.0 kPa positive end expiratory pressure was associated with preservation of the arterial oxygen tension without any increase in shunt or significant adverse haemodynamic effect. The results are discussed and compared with a previous study of high frequency jet ventilation following aortocoronary bypass graft surgery.
在接受瓣膜心脏手术（二尖瓣和/或主动脉瓣）的患者中，比较了间歇正压通气和高频喷射通气在有和没有呼气末正压情况下的心肺效应。20名患者接受了间歇正压通气和高频喷射通气，呼气末正压分别为0、0.5和1.0千帕。高频喷射通气耐受性良好。添加1.0千帕呼气末正压与动脉血氧张力的维持相关，分流没有增加，也没有显著的不良血流动力学效应。对结果进行了讨论，并与先前关于主动脉冠状动脉旁路移植手术后高频喷射通气的研究进行了比较。
