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低频正压通气联合体外二氧化碳清除治疗急性呼吸衰竭

Treatment of acute respiratory failure with low-frequency positive-pressure ventilation and extracorporeal removal of CO2.

作者信息

Gattinoni L, Agostoni A, Pesenti A, Pelizzola A, Rossi G P, Langer M, Vesconi S, Uziel L, Fox U, Longoni F, Kolobow T, Damia G

出版信息

Lancet. 1980 Aug 9;2(8189):292-4. doi: 10.1016/s0140-6736(80)90237-8.

Abstract

Terminal respiratory failure was reversed in three patients with a combination of extra-corporeal CO2 removal through a membrane lung and oxygen diffusion into the diseased lungs between mechanical breaths induced at a frequency of 2-3/min. The technique seems to prevent the pulmonary barotrauma and extrapulmonary derangements caused by conventional mechanical ventilation.

摘要

三名患者通过膜肺进行体外二氧化碳清除,并在每分钟2 - 3次的机械通气间歇期将氧气扩散至病变肺内,终末期呼吸衰竭得以逆转。该技术似乎可预防传统机械通气所致的肺气压伤和肺外紊乱。

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