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[新生儿呼吸窘迫综合征综合治疗中应用肺振荡通气的首次经验]

[First experience in the use of oscillating ventilation of lungs in complex treatment of respiratory distress syndrome in the newborn].

作者信息

Boltenkov N D, Isaev I V

出版信息

Anesteziol Reanimatol. 1993 May-Jun(3):57-9.

PMID:7943909
Abstract

High-frequency oscillatory controlled lung ventilation in patients with spontaneous respiration and constant positive pressure in combination with periods of mandatory lung ventilation promoted a significant increase in PtkO2 and PtkCO2 normalization. The absence of spontaneous respiration was not accompanied by gas exchange deterioration. The efficacy of high-frequency oscillatory controlled lung ventilation depends on the severity of the lung damage. The improvement in arterial blood oxygenation might be associated with the improvement in ventilation-perfusion ratio and a slight effect on hemodynamics.

摘要

在有自主呼吸且持续正压通气并结合强制性肺通气时段的患者中,高频振荡控制肺通气促使PtkO2显著增加以及PtkCO2恢复正常。自主呼吸的缺失并未伴有气体交换恶化。高频振荡控制肺通气的疗效取决于肺损伤的严重程度。动脉血氧合的改善可能与通气-灌注比的改善以及对血流动力学的轻微影响有关。

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