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[在家中使用压力缓解器装置进行辅助通气时残余正压的应用(作者译)]

[Application of residual positive pressure during assisted ventilation at home using pressure relaxator devices (author's transl)].

作者信息

Krempf M, Barel P, Adoue D, Jover A, Miguères J

出版信息

Rev Fr Mal Respir. 1979 Jul-Aug;7(4):387-9.

PMID:398559
Abstract

A residual postive pressure (R.P.P.) of low magnitude (1 to 4 cm of water) was used during assisted ventilation by pressure relaxator in an attempt to decrease the expiratory dynamic compression of the airways. A ventilatory test involving 80 respiratory insufficient patients (73 men and 7 women) shows that with assistance the tidal volume of half of the subjects increased by more than 20% (average gain: 32%). The patients with the highest RV/TC ratio benefitted most from the method. Finally, the arterial blood gases were not significantly modified. A longitudinal study involving 46 subjects observed for an average period of 24 months revealed a marked subjective improvement in the patients' condition without significant modification of the blood gas figures. No incident or accident was attributed to the use of R.P.P.

摘要

在使用压力缓解器进行辅助通气时,采用了低幅度(1至4厘米水柱)的残余正压(R.P.P.),试图减少气道的呼气动态压缩。一项涉及80名呼吸功能不全患者(73名男性和7名女性)的通气测试表明,在辅助通气时,一半受试者的潮气量增加超过20%(平均增加:32%)。右心室/总肺活量(RV/TC)比值最高的患者从该方法中获益最大。最后,动脉血气没有明显改变。一项对46名受试者进行的纵向研究,平均观察期为24个月,结果显示患者的状况有明显的主观改善,而血气数值没有显著变化。未发现因使用R.P.P.而导致的任何事件或事故。

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