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高频正压通气期间的肺泡死腔。通气模式的影响。

Alveolar deadspace during high frequency positive pressure ventilation. Influence of ventilatory pattern.

作者信息

Jonzon A, Rondio Z, Sedin G

出版信息

Br J Anaesth. 1983 Nov;55(11):1133-8. doi: 10.1093/bja/55.11.1133.

DOI:10.1093/bja/55.11.1133
PMID:6416283
Abstract

Pulmonary gas exchange was studied in association with high frequency ventilation and its relation to the duration of insufflation and end-expiratory pressure investigated. Alveolar deadspace, alveolar ventilation and the alveolar-arterial oxygen difference were obtained in cats receiving a constant minute ventilation. Alveolar deadspace increased with ventilatory frequency when a long insufflation time was used. A positive end-expiratory pressure (PEEP) decreased the alveolar deadspace in high frequency ventilation. Thus, with the low compressible volume ventilator, more efficient high frequency ventilation can be achieved with a short period of insufflation plus low PEEP.

摘要

研究了高频通气时的肺气体交换,并探讨了其与通气持续时间及呼气末压力的关系。在接受恒定分钟通气量的猫身上,测量了肺泡死腔、肺泡通气量和肺泡-动脉血氧分压差。当通气时间较长时,肺泡死腔随通气频率增加而增大。在高频通气时,呼气末正压(PEEP)可降低肺泡死腔。因此,使用低可压缩容积呼吸机,通过短时间通气加低PEEP可实现更有效的高频通气。

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