Miranda D R, Stoutenbeek C, Kingma L
Intensive Care Med. 1981 Apr;7(3):139-41. doi: 10.1007/BF01738617.
A case of a 53 year old lady who developed a unilateral "white lung" of known etiology three weeks after injury is described. The clinical picture was suggestive of a pleural or extra-pleural hematoma, and she was operated upon twice. During the second thoracotomy it became evident that the lesion was in the lung parenchyma. The patient was treated with differential lung ventilation with application of a high continuous positive airway pressure, followed by high frequency positive pressure ventilation (HFPPV) of the diseased lung with low frequency continuous positive pressure ventilation of the other lung. This technique proved to be simple and successful.
本文描述了一例53岁女性患者,在受伤三周后出现了已知病因的单侧“白肺”。临床表现提示为胸膜或胸膜外血肿,她接受了两次手术。在第二次开胸手术中,病变位于肺实质这一点变得很明显。对该患者采用了差异肺通气,即对患侧肺应用高持续气道正压,随后对患侧肺进行高频正压通气(HFPPV),对另一侧肺进行低频持续正压通气。该技术被证明简单且成功。