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[呼气末正压诱导的功能残气量增加。使用胸肺压力曲线进行预测]

[Increase in functional residual capacity induced by positive end-expiratory pressure. Prediction using the thoracopulmonary pressure curve].

作者信息

Matamis D, Lemaire F, Rieuf P

出版信息

Ann Fr Anesth Reanim. 1984;3(3):199-204. doi: 10.1016/s0750-7658(84)80054-4.

Abstract

Prediction of FRC using a respiratory P-V curve (2 1 syringe method) has been tested in eight patients with normal lungs and in 12 ARDS patients. FRC was measured using nitrogen dilution technique with a closed circuit. Correlation between measured and predicted FRC was excellent, especially when the expiratory limb of the P-V curve was used (r = 0.92, in patients with pulmonary edema, and r = 0,97 when patients were evaluated after a few weeks). PEEP induced increase in FRC was larger between 10 and 20 cmH2O than between 0 and 10 cmH2O. As expected, Qs/Qt decrease was correlated with the FRC augmentation.

摘要

使用呼吸压力-容积曲线(2毫升注射器法)预测功能残气量(FRC),已在8名肺功能正常的患者和12名急性呼吸窘迫综合征(ARDS)患者中进行了测试。FRC采用氮稀释技术通过闭路系统进行测量。实测FRC与预测FRC之间的相关性极佳,尤其是使用压力-容积曲线的呼气支时(肺水肿患者中r = 0.92,数周后评估患者时r = 0.97)。呼气末正压(PEEP)在10至20厘米水柱之间引起的FRC增加大于在0至10厘米水柱之间。正如预期的那样,分流率(Qs/Qt)的降低与FRC的增加相关。

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