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高频喷射通气——其在呼吸功能不全中的应用。两例病例报告。

High frequency jet ventilation - its use in respiratory insufficiency. Two case reports.

作者信息

Ashley M, Cameron A E, Slee I P

出版信息

Intensive Care Med. 1983;9(5):257-62. doi: 10.1007/BF01691251.

DOI:10.1007/BF01691251
PMID:6578258
Abstract

High frequency jet ventilation was used in two patients with severe pulmonary disease, one of whom was deteriorating and the other not improving on a conventional regime of antibiotics, physiotherapy and intermittent positive pressure ventilation. In our first case high frequency jet ventilation was achieved using one side of a double lumen endotracheal tube, whilst intermittent positive pressure ventilation was applied to the other side. In the second case a specially designed endotracheal tube with a distal jetting orifice was employed. In both cases there was marked improvement in chest X-ray appearance, arterial blood gas analysis and clinical condition, permitting resumption of spontaneous ventilation, extubation and eventual discharge from the Intensive Therapy Unit.

摘要

两名患有严重肺部疾病的患者接受了高频喷射通气治疗。其中一名患者病情恶化,另一名患者在接受抗生素、物理治疗和间歇性正压通气的传统治疗方案后没有改善。在我们的第一个病例中,使用双腔气管内导管的一侧实现了高频喷射通气,而另一侧则应用了间歇性正压通气。在第二个病例中,使用了一种专门设计的带有远端喷射孔的气管内导管。在这两个病例中,胸部X光表现、动脉血气分析和临床状况均有明显改善,从而允许恢复自主通气、拔管并最终从重症治疗病房出院。

相似文献

1
High frequency jet ventilation - its use in respiratory insufficiency. Two case reports.高频喷射通气——其在呼吸功能不全中的应用。两例病例报告。
Intensive Care Med. 1983;9(5):257-62. doi: 10.1007/BF01691251.
2
Minitracheostomy: a new delivery system for jet ventilation.微创气管切开术:一种用于喷射通气的新型输送系统。
J Thorac Cardiovasc Surg. 1986 Oct;92(4):673-5.
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High-frequency jet ventilation in major airway or pulmonary disruption.主气道或肺部破裂时的高频喷射通气
Ann Thorac Surg. 1981 Nov;32(5):468-74. doi: 10.1016/s0003-4975(10)61780-8.
4
[A method for the combined traditional and high-frequency jet injection ventilation of the lungs].[一种肺部传统与高频喷射通气联合的方法]
Anesteziol Reanimatol. 1985 Jul-Aug(4):27-9.
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[High-frequency jet ventilation. A new technic for artificial respiration].[高频喷射通气。一种人工呼吸的新技术]
Soins Chir. 1985 Jun-Jul(52-53):27-32.
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High-frequency ventilation in rabbits with respiratory insufficiency.呼吸功能不全家兔的高频通气
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Non-invasive mechanical ventilation in the treatment of acute respiratory failure in chronic obstructive pulmonary disease.无创机械通气治疗慢性阻塞性肺疾病急性呼吸衰竭
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Comparison of high frequency jet ventilation to conventional ventilation during severe acute respiratory failure in humans.高频喷射通气与传统通气在人类严重急性呼吸衰竭中的比较。
Crit Care Med. 1982 Oct;10(10):625-30. doi: 10.1097/00003246-198210000-00001.
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Early prediction of outcome of respiratory failure. Comparison of high-frequency jet ventilation and volume-cycled ventilation.呼吸衰竭预后的早期预测。高频喷射通气与容量控制通气的比较。
Chest. 1984 Aug;86(2):194-7. doi: 10.1378/chest.86.2.194.
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Resting the lung.
Respir Med. 1993 May;87(4):245-7. doi: 10.1016/0954-6111(93)90019-v.

引用本文的文献

1
Alternative modes of ventilation. Part II. High and low frequency positive pressure ventilation PEEP, CPAP inversed ratio ventilation.通气的替代模式。第二部分。高频和低频正压通气、呼气末正压、持续气道正压通气、反比通气
Intensive Care Med. 1985;11(3):115-22. doi: 10.1007/BF00258535.
2
Comparison of high-frequency jet ventilation to conventional ventilation in adults with respiratory distress syndrome.高频喷射通气与传统通气在成人呼吸窘迫综合征中的比较。
Intensive Care Med. 1987;13(2):100-5. doi: 10.1007/BF00254793.
3
Clinical applications of independent lung ventilation with unilateral high-frequency jet ventilation (ILV-UHFJV).

本文引用的文献

1
High frequency venturi jet ventilation. Adult respiratory distress syndrome--a case report.
Anaesthesia. 1982 Jun;37(6):670-4. doi: 10.1111/j.1365-2044.1982.tb01280.x.
2
Long-term treatment of two patients with respiratory insufficiency with IPPV/PEEP and HFPPV/PEEP.对两名呼吸功能不全患者进行间歇正压通气/呼气末正压通气(IPPV/PEEP)和高频正压通气/呼气末正压通气(HFPPV/PEEP)的长期治疗。
Acta Anaesthesiol Scand Suppl. 1977;64:55-68. doi: 10.1111/j.1399-6576.1977.tb01262.x.
单侧高频喷射通气独立肺通气(ILV-UHFJV)的临床应用
Intensive Care Med. 1986;12(2):90-4. doi: 10.1007/BF00254518.
4
Treatment with isoproterenol of bupivacaine toxicity.异丙肾上腺素治疗布比卡因中毒。
Can J Anaesth. 1990 May;37(4 Pt 2):S1. doi: 10.1007/BF03006282.