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极低出生体重儿肺力学的单次呼吸测量

Single-breath measurement of lung mechanics in very low birth weight infants.

作者信息

Thomson A, Silverman M

出版信息

Crit Care Med. 1985 Jan;13(1):4-8. doi: 10.1097/00003246-198501000-00002.

DOI:10.1097/00003246-198501000-00002
PMID:3965247
Abstract

The expiratory time constant of the respiratory system (Trs) and the total respiratory system compliance (Crs) were measured from the analysis of a flow-volume loop during relaxed expiration, and the total respiratory system resistance (Rrs) was derived from the relationship: Rrs = Trs/Crs. In ten intubated and mechanically ventilated very low birth weight infants, the values obtained for compliance (0.21 to 0.71 ml/cm H2O) were similar to those found using an occlusion technique during spontaneous breathing. The values of Trs were 0.03 to 0.14 sec. These Trs values were altered by adding known resistive loads. The corresponding derived values for Rrs were close to the values of the added resistance loads, suggesting that resistance values found in this group of ventilated babies (120 to 380 cm H2O/L X sec) were accurate.

摘要

通过对呼气放松时流量-容积环的分析,测量呼吸系统的呼气时间常数(Trs)和总呼吸系统顺应性(Crs),并根据公式Rrs = Trs/Crs得出总呼吸系统阻力(Rrs)。在10例接受气管插管并机械通气的极低出生体重儿中,所获得的顺应性值(0.21至0.71 ml/cm H2O)与在自主呼吸时使用阻断技术所测得的值相似。Trs值为0.03至0.14秒。通过添加已知的阻力负荷可改变这些Trs值。相应得出的Rrs值与添加的阻力负荷值接近,这表明在这组接受通气的婴儿中所测得的阻力值(120至380 cm H2O/L×秒)是准确的。

相似文献

1
Single-breath measurement of lung mechanics in very low birth weight infants.极低出生体重儿肺力学的单次呼吸测量
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2
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Early screening of lung function by electrical impedance tomography in people with normal spirometry reveals unrecognized pathological features.在肺活量测定正常的人群中,通过电阻抗断层扫描进行肺功能早期筛查可发现未被识别的病理特征。
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2
Ventilator settings for newborn infants.新生儿的呼吸机设置
Arch Dis Child. 1987 May;62(5):529-38. doi: 10.1136/adc.62.5.529.
3
Assessment of a new valveless infant ventilator.一种新型无阀婴儿呼吸机的评估。
Arch Dis Child. 1988 Feb;63(2):162-7. doi: 10.1136/adc.63.2.162.