Maewal H K, Kirk B W
Intensive Care Unit, Winnipeg General Hospital, Manitoba, Canada.
Crit Care Med. 1976 Nov-Dec;4(6):301-3. doi: 10.1097/00003246-197611000-00003.
Selective re-inflation of the lung with lobar atelectasis was carried out in four patients who were receiving mechanical ventilation. The increased pressure and volume were delivered mainly to the atelectatic lung by momentary obstruction of mainstem bronchus of the uninvolved lung with a balloon-tipped catheter. Blood gases and chest x-rays following the procedure showed improvement in oxygenation with prompt re-expansion of the atelectatic lung. The described procedure is recommended in atelectasis involving major portions of the lung with severe hypoxemia not responding to aggressive conventional treatment.
对4例接受机械通气的肺叶肺不张患者进行了选择性肺再膨胀。通过用带气囊导管暂时阻塞未受累肺的主支气管,将增加的压力和容积主要传递至肺不张的肺。术后血气分析和胸部X线检查显示氧合改善,肺不张的肺迅速复张。对于累及肺大部分区域且严重低氧血症对积极的传统治疗无反应的肺不张,推荐采用所述方法。