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急性危及生命的通气-灌注失衡:独立肺通气的指征。

Acute life-threatening ventilation-perfusion inequality: an indication for independent lung ventilation.

作者信息

Carlon G C, Kahn R, Howland W S, Baron R, Ramaker J

出版信息

Crit Care Med. 1978 Nov-Dec;6(6):380-3. doi: 10.1097/00003246-197811000-00009.

DOI:10.1097/00003246-197811000-00009
PMID:720102
Abstract

Although reports of independent lung ventilation are found in the literature more frequently, firm criteria for its use have not yet been established. It is probable that major ventilation-perfusion inequality, especially in cases in which the blood flow is primarily diverted to the less ventilated lung, could sometimes be corrected by this technique. The present report deals with such a case and describes the angiographic studies which convinced us that differential ventilation was necessary. By this means we were able to provide successful treatment for patients who had developed preterminal hypoxemia.

摘要

虽然文献中关于独立肺通气的报道更为常见,但尚未确立其使用的严格标准。在主要的通气-灌注不均衡的情况下,尤其是血流主要分流至通气较差的肺的病例中,有时可通过该技术予以纠正。本报告论述了这样一个病例,并描述了血管造影研究,这些研究使我们确信需要进行差异通气。通过这种方法,我们得以成功治疗已出现终末期前低氧血症的患者。

相似文献

1
Acute life-threatening ventilation-perfusion inequality: an indication for independent lung ventilation.急性危及生命的通气-灌注失衡:独立肺通气的指征。
Crit Care Med. 1978 Nov-Dec;6(6):380-3. doi: 10.1097/00003246-197811000-00009.
2
[The clinical lung transplantation and its special problems].[临床肺移植及其特殊问题]
Langenbecks Arch Chir. 1968;322:537-42. doi: 10.1007/BF02453873.
3
Differential ventilation in acute respiratory failure. Indications and outcome.
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Ventilation, gas exchange and breathing mechanics during respirator treatment. Influence of respiratory frequency and minute volume.呼吸机治疗期间的通气、气体交换和呼吸力学。呼吸频率和分钟通气量的影响。
Scand J Respir Dis. 1972;53(1):10-26.
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[Respiration problems in seriously wounded].[重伤员的呼吸问题]
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Acute respiratory failure: an approach to diagnosis and management.
Prim Care. 1978 Sep;5(3):515-28.
7
[Evaluation of lung function during respirator treatment].[呼吸器治疗期间的肺功能评估]
Nord Med. 1971 May 6;85(18):559-65.
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[Ventilation and continued positive-pressure respiration in resuscitation].[复苏中的通气与持续正压呼吸]
Minerva Med. 1977 May 9;68(23):1541-50.
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[Basis of respiratory insufficiency].[呼吸功能不全的基础]
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引用本文的文献

1
Selective bronchial intubation for one-lung ventilation and independent-lung ventilation in pediatric age: state of the art.小儿单肺通气和独立肺通气的选择性支气管插管:现状
Zhongguo Dang Dai Er Ke Za Zhi. 2020 Jun;22(6):543-554. doi: 10.7499/j.issn.1008-8830.1912121.
2
Independent lung ventilation with use of a double-lumen endotracheal tube for refractory hypoxemia and shock complicating severe unilateral pneumonia: A case report.使用双腔气管导管进行独立肺通气治疗难治性低氧血症和休克并发严重单侧肺炎:一例报告
Respir Med Case Rep. 2020 May 7;30:101084. doi: 10.1016/j.rmcr.2020.101084. eCollection 2020.
3
Successful 1:1 proportion ventilation with a unique device for independent lung ventilation using a double-lumen tube without complications in the supine and lateral decubitus positions. A pilot study.
使用双腔管的独特独立肺通气装置在仰卧位和侧卧位成功实现1:1比例通气,且无并发症。一项初步研究。
PLoS One. 2017 Sep 14;12(9):e0184537. doi: 10.1371/journal.pone.0184537. eCollection 2017.
4
Recurrent unilateral lung disease.复发性单侧肺部疾病。
Intensive Care Med. 1981;7(6):313-4. doi: 10.1007/BF01709730.
5
The effect of lateral positions on gas exchange in patients with unilateral lung disease during mechanical ventilation.机械通气期间侧卧位对单侧肺部疾病患者气体交换的影响。
Intensive Care Med. 1981;7(5):231-4. doi: 10.1007/BF01702625.
6
Management of massive air leak with asynchronous independent lung ventilation.
Intensive Care Med. 1982;8(6):287-90. doi: 10.1007/BF01716740.
7
Quantification of asymmetric lung pathophysiology as a guide to the use of simultaneous independent lung ventilation in posttraumatic and septic adult respiratory distress syndrome.
Ann Surg. 1985 Oct;202(4):425-39. doi: 10.1097/00000658-198510000-00004.
8
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.
9
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。
Intensive Care Med. 1988;15(1):15-8. doi: 10.1007/BF00255629.
10
Differential ventilation with low-flow CPAP and CPPV in the treatment of unilateral chest trauma.低流量持续气道正压通气与控制性肺膨胀通气在单侧胸部创伤治疗中的差异通气
Intensive Care Med. 1989;15(3):209-11. doi: 10.1007/BF01058576.