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高频喷射通气下的肺差异通气

Differential lung ventilation with HFPPV.

作者信息

Miranda D R, Stoutenbeek C, Kingma L

出版信息

Intensive Care Med. 1981 Apr;7(3):139-41. doi: 10.1007/BF01738617.

DOI:10.1007/BF01738617
PMID:7012216
Abstract

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.

摘要

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。

相似文献

1
Differential lung ventilation with HFPPV.高频喷射通气下的肺差异通气
Intensive Care Med. 1981 Apr;7(3):139-41. doi: 10.1007/BF01738617.
2
Experimental blunt chest trauma--cardiorespiratory effects of different mechanical ventilation strategies with high positive end-expiratory pressure: a randomized controlled study.实验性钝性胸部创伤——不同呼气末正压机械通气策略的心肺效应:一项随机对照研究
BMC Anesthesiol. 2016 Jan 12;16:3. doi: 10.1186/s12871-015-0166-x.
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"Open lung ventilation optimizes pulmonary function during lung surgery".开胸肺通气可优化肺手术期间的肺功能。
J Surg Res. 2014 Dec;192(2):242-9. doi: 10.1016/j.jss.2014.06.029. Epub 2014 Jun 20.
4
Clinical evaluation of high-frequency positive-pressure ventilation (HFPPV) in patients scheduled for open-chest surgery.高频正压通气(HFPPV)在拟行开胸手术患者中的临床评估。
Anesth Analg. 1981 May;60(5):324-30.
5
Traumatic respiratory insufficiency: comparison of conventional mechanical ventilation to high-frequency positive pressure with low-rate ventilation.
Crit Care Med. 1987 Feb;15(2):118-21.
6
Effects of nondependent lung ventilation with continuous positive-pressure ventilation and high-frequency positive-pressure ventilation on right-ventricular function during 1-lung ventilation.单肺通气期间持续正压通气和高频正压通气的非依赖肺通气对右心室功能的影响
Semin Cardiothorac Vasc Anesth. 2010 Dec;14(4):291-300. doi: 10.1177/1089253210383585. Epub 2010 Sep 23.
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Combined use of HFPPV with low-rate ventilation in traumatic respiratory insufficiency.高频喷射通气联合低频率通气在创伤性呼吸功能不全中的应用
Intensive Care Med. 1984;10(4):197-200. doi: 10.1007/BF00259437.
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Multicentre randomised controlled trial of high against low frequency positive pressure ventilation. Oxford Region Controlled Trial of Artificial Ventilation OCTAVE Study Group.高频与低频正压通气的多中心随机对照试验。牛津地区人工通气对照试验(OCTAVE)研究组。
Arch Dis Child. 1991 Jul;66(7 Spec No):770-5. doi: 10.1136/adc.66.7_spec_no.770.
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A comparison of two-lung high frequency positive pressure ventilation and one-lung ventilation plus 5 cm H2O non-ventilated lung CPAP, in patients undergoing anaesthesia for oesophagectomy.在接受食管癌切除术麻醉的患者中,双肺高频正压通气与单肺通气加5 cm H2O非通气肺持续气道正压通气的比较。
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Mechanical ventilation in fiberoptic-bronchoscopy: comparison between high frequency positive pressure ventilation and normal frequency positive pressure ventilation.纤维支气管镜检查中的机械通气:高频正压通气与常频正压通气的比较。
Crit Care Med. 1982 Nov;10(11):733-5.

引用本文的文献

1
Ventilation in chest trauma.胸部创伤中的通气
J Emerg Trauma Shock. 2011 Apr;4(2):251-9. doi: 10.4103/0974-2700.82215.
2
Clinical applications of independent lung ventilation with unilateral high-frequency jet ventilation (ILV-UHFJV).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.
3
Selective decontamination of the digestive tract improves survival in patients receiving differential lung ventilation.消化道选择性去污可提高接受差异性肺通气患者的生存率。

本文引用的文献

1
Therapy of unilateral pulmonary insufficiency with a double lumen endotracheal tube.
Crit Care Med. 1976 Nov-Dec;4(6):323-6. doi: 10.1097/00003246-197611000-00010.
2
A selective ventilation distribution circuit (S.V.D.C).一种选择性通气分配回路(S.V.D.C)。
Intensive Care Med. 1979 May;5(2):95-8. doi: 10.1007/BF01686056.
3
Criteria for selective positive end-expiratory pressure and independent synchronized ventilation of each lung.选择性呼气末正压及双肺独立同步通气的标准。
Intensive Care Med. 1988;15(1):15-8. doi: 10.1007/BF00255629.
Chest. 1978 Nov;74(5):501-7. doi: 10.1378/chest.74.5.501.
4
Experimental and clinical evaluation of high-frequency positive-pressure ventilation (HFPPV) and the pneumatic valve principle in bronchoscopy under general anaesthesia.高频正压通气(HFPPV)及气动阀原理在全身麻醉下支气管镜检查中的实验与临床评估
Acta Anaesthesiol Scand Suppl. 1977;64:83-100. doi: 10.1111/j.1399-6576.1977.tb01264.x.
5
Differential lung ventilation with PEEP in the treatment of unilateral pneumonia.
Crit Care Med. 1977 Jul-Aug;5(4):170-2. doi: 10.1097/00003246-197707000-00002.