Boltenkov N D, Isaev I V
Anesteziol Reanimatol. 1993 May-Jun(3):57-9.
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.
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。