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呼气末正压对新生儿动态呼吸顺应性的影响。

Effect of positive end-expiratory pressure on dynamic respiratory compliance in neonates.

作者信息

Philips J B, Beale E F, Howard J E, Jaeger M J, Eitzman D V

出版信息

Biol Neonate. 1980;38(5-6):270-5. doi: 10.1159/000241376.

DOI:10.1159/000241376
PMID:6998513
Abstract

A simplified method of determining dynamic respiratory compliance (C dyn) in the newborn is described. Studies were performed during mechanical ventilation on 24 infants with respiratory distress syndrome (RDS) and 6 infants without RDS. Cdyn was evaluated at pressure settinghs of 20/0, 25/5 and 30/10 cm H2O. Significant decreases (p < 0.05) in Cdyn were noted with each increase in end-expiratory pressure setting. The values for Cdyn in RDS patients obtained by this method closely approximated previously published data for lung compliance in babies with RDS. This simple and reproducible method may be useful in following the course of illness in infants with RDS.

摘要

本文描述了一种用于测定新生儿动态呼吸顺应性(Cdyn)的简化方法。对24例患有呼吸窘迫综合征(RDS)的婴儿和6例无RDS的婴儿在机械通气期间进行了研究。在呼气末压力设置为20/0、25/5和30/10 cm H₂O时评估Cdyn。随着呼气末压力设置的每次增加,Cdyn均出现显著下降(p < 0.05)。通过这种方法获得的RDS患者的Cdyn值与先前发表的RDS婴儿肺顺应性数据非常接近。这种简单且可重复的方法可能有助于追踪RDS婴儿的病程。

相似文献

1
Effect of positive end-expiratory pressure on dynamic respiratory compliance in neonates.呼气末正压对新生儿动态呼吸顺应性的影响。
Biol Neonate. 1980;38(5-6):270-5. doi: 10.1159/000241376.
2
Compliance of the respiratory system as a predictor for successful extubation in very-low-birth-weight infants recovering from respiratory distress syndrome.呼吸系统顺应性作为极低出生体重儿呼吸窘迫综合征恢复过程中成功拔管的预测指标
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Birth weight and early lung compliance as predictors of short-term outcome in premature infants with respiratory distress syndrome.出生体重和早期肺顺应性作为呼吸窘迫综合征早产儿短期预后的预测指标。
S Afr Med J. 1995 Nov;85(11):1157-60.
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Pulmonary function following positive pressure ventilation initiated immediately after birth in infants with respiratory distress syndrome.呼吸窘迫综合征患儿出生后立即开始正压通气后的肺功能
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Computerised determination of spontaneous inspiratory and expiratory times in premature neonates during intermittent positive pressure ventilation. II: Results from 20 babies.间歇性正压通气期间早产儿自主吸气和呼气时间的计算机化测定。II:20例婴儿的结果。
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Arch Dis Child. 1983 Nov;58(11):891-6. doi: 10.1136/adc.58.11.891.
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Compliance measurement in respiratory distress syndrome: the prediction of outcome.呼吸窘迫综合征中的顺应性测量:结局预测
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Changes in lung volume and static expiratory pressure-volume diagram after surfactant rescue treatment of neonates with established respiratory distress syndrome.已确诊呼吸窘迫综合征的新生儿经表面活性剂抢救治疗后肺容积及静态呼气压力-容积图的变化
Am J Respir Crit Care Med. 1996 Oct;154(4 Pt 1):918-23. doi: 10.1164/ajrccm.154.4.8887586.

引用本文的文献

1
Cardiorespiratory effects of changes in end expiratory pressure in ventilated newborns.通气新生儿呼气末压力变化的心肺效应
Arch Dis Child Fetal Neonatal Ed. 2007 Nov;92(6):F444-8. doi: 10.1136/adc.2006.103929. Epub 2007 Apr 25.
2
To PEEP or not to PEEP?是否使用呼气末正压通气?
Arch Dis Child Fetal Neonatal Ed. 1994 May;70(3):F209-12. doi: 10.1136/fn.70.3.f209.
3
Lung function testing--useless in ventilated newborns?肺功能测试——对通气的新生儿无用?
Eur J Pediatr. 1994;153(9 Suppl 2):S22-6. doi: 10.1007/BF02179669.
4
Intraesophageal pressure monitoring and the severity of respiratory distress syndrome.食管内压力监测与呼吸窘迫综合征的严重程度
Eur J Pediatr. 1982 Jul;138(4):297-300. doi: 10.1007/BF00442500.