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高频间歇性正压通气对犬心肺功能的影响。

Cardiorespiratory effects of high frequency intermittent positive pressure ventilation in the dog.

作者信息

Chakrabarti M K, Sykes M K

出版信息

Br J Anaesth. 1980 May;52(5):475-82. doi: 10.1093/bja/52.5.475.

Abstract

The cardiorespiratory effects of increasing respiratory frequency were investigated in two groups of dogs ventilated mechanically with a system which minimized apparatus and anatomical deadspace. In one group minute volume was constant whilst frequency was increased; in the second group minute volume was increased to maintain normal PaCO2. The reduction in tidal volume with increasing frequency was accompanied by a reduction in physiological deadspace. However, the reduction in deadspace was proportionally less than the decrease in tidal volume, so that the deadspace/tidal volume ratio increased. The peak airway pressures were minimal at a frequency of 45 b.p.m. At frequencies of 60 b.p.m. and more, the lung failed to empty so that peak airway pressures were increased and cardiac output decreased.

摘要

在两组使用可将仪器和解剖无效腔减至最小的系统进行机械通气的狗身上,研究了增加呼吸频率对心肺的影响。一组中,分钟通气量恒定,而频率增加;第二组中,分钟通气量增加以维持正常的动脉血二氧化碳分压(PaCO₂)。随着频率增加,潮气量减少,同时生理无效腔也减少。然而,无效腔的减少与潮气量的减少不成比例,因此无效腔/潮气量比值增加。气道峰值压力在每分钟45次时最小。在每分钟60次及以上的频率时,肺无法排空,导致气道峰值压力增加,心输出量减少。

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