延长高频喷射通气。

Prolonged high-frequency jet ventilation.

作者信息

Mendez M, Pratt D S, May J J

出版信息

Crit Care Med. 1984 Sep;12(9):838-9. doi: 10.1097/00003246-198409000-00038.

DOI:10.1097/00003246-198409000-00038

Abstract

A 26-yr-old woman with bilateral staphylococcal pneumonia developed respiratory failure. Conventional ventilation failed and high-frequency jet ventilation (HFJV) was successfully instituted. Bronchopleural fistulas required prolonged (73 days) support with HFJV. A bronchoscopy performed after 37 days of mechanical support showed no abnormalities. Computed tomography (CT) of the chest demonstrated severe cystic abnormalities. Pulmonary function tests performed 1 and 6 months after recovery showed small-airway dysfunction. HFJV proved safe for prolonged use.

摘要

一名26岁双侧葡萄球菌肺炎女性患者出现呼吸衰竭。常规通气失败后成功实施高频喷射通气（HFJV）。支气管胸膜瘘需要HFJV长期（73天）支持。机械通气37天后进行的支气管镜检查未发现异常。胸部计算机断层扫描（CT）显示严重的囊性异常。康复后1个月和6个月进行的肺功能测试显示小气道功能障碍。事实证明HFJV长期使用是安全的。