Murat I, Laguenie G, Couturier C, Delleur M M, Bargy F, Saint-Maurice J P
Ann Fr Anesth Reanim. 1983;2(4):270-2. doi: 10.1016/s0750-7658(83)80023-9.
The preliminary results of the use of high frequency positive pressure ventilation (HFPPV) in six newborn infants presenting a type III oesophageal atresia during the thoracic stage of surgical repair are reported. HFPPV allowed correct gas exchange during the surgical procedure. In the six cases, a significant decrease in PaCO2 (p less than 0.05) was observed, whereas the effects on PaO2 were variable. The technical problems, mechanism of gas transport during HFPPV and clinical interest of HFPPV in thoracic surgery are discussed.
报告了在六例Ⅲ型食管闭锁新生儿外科修复胸段手术中使用高频正压通气（HFPPV）的初步结果。HFPPV在手术过程中实现了正确的气体交换。在这六例病例中，观察到动脉血二氧化碳分压（PaCO2）显著降低（p<0.05），而对动脉血氧分压（PaO2）的影响则各不相同。本文讨论了HFPPV的技术问题、HFPPV期间的气体传输机制以及HFPPV在胸外科手术中的临床意义。
