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危及生命的意外呼气末正压。

Life-threatening inadvertent positive end-expiratory pressure.

作者信息

Stenson B J, Glover R M, Wilkie R A, Laing I A, Tarnow-Mordi W O

机构信息

Department of Child Life and Health, University of Edinburgh, United Kingdom.

出版信息

Am J Perinatol. 1995 Sep;12(5):336-8. doi: 10.1055/s-2007-994490.

DOI:10.1055/s-2007-994490
PMID:8540937
Abstract

Inadvertent positive end-expiratory pressure (PEEP) is a potential cause of lung overdistension and impaired gas exchange in ventilated infants. It can be extremely difficult to diagnose clinically and if unrecognized can be life-threatening. Measurement of lung function can lead to the recognition of inadvertent PEEP, allowing appropriate ventilator adjustment with immediate substantial improvement in clinical state. Lung function measurements can help to optimize ventilation and may improve clinical outcome.

摘要

无意中产生的呼气末正压(PEEP)是导致通气婴儿肺过度扩张和气体交换受损的一个潜在原因。临床上极难诊断,若未被识别则可能危及生命。肺功能测量有助于识别无意中产生的PEEP,从而对呼吸机进行适当调整,使临床状况立即得到显著改善。肺功能测量有助于优化通气,并可能改善临床结局。

相似文献

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Life-threatening inadvertent positive end-expiratory pressure.危及生命的意外呼气末正压。
Am J Perinatol. 1995 Sep;12(5):336-8. doi: 10.1055/s-2007-994490.
2
[Hemodynamic and ventilatory complications of mechanical ventilation with high intrinsic positive end-expiratory pressure].[高内源性呼气末正压机械通气的血流动力学和通气并发症]
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Positive end-expiratory pressure delays the progression of lung injury during ventilator strategies involving high airway pressure and lung overdistention.在涉及高气道压力和肺过度扩张的通气策略中,呼气末正压可延缓肺损伤的进展。
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Measurement of air trapping, intrinsic positive end-expiratory pressure, and dynamic hyperinflation in mechanically ventilated patients.机械通气患者中气体陷闭、内源性呼气末正压和动态肺过度充气的测量。
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Anaesthesist. 1983 Mar;32(3):99-104.

引用本文的文献

1
Randomised controlled trial of respiratory system compliance measurements in mechanically ventilated neonates.机械通气新生儿呼吸系统顺应性测量的随机对照试验
Arch Dis Child Fetal Neonatal Ed. 1998 Jan;78(1):F15-9. doi: 10.1136/fn.78.1.f15.