Turner J S, Smith G, Theunissen D
Surgical Intensive Care Unit, University of Cape Town.
S Afr Med J. 1994 Nov;84(11 Suppl):803-6.
We report 3 cases of severe adult respiratory distress syndrome. The patients were very difficult to oxygenate, even with the most advanced conventional mechanical ventilation techniques. In all cases oxygenation improved dramatically when the patient was turned to the prone position. Reports of the use of the prone position for ventilation are scanty, and this is the first time it has been reported in this country. The proposed mechanisms for its effectiveness are reviewed.
我们报告了3例严重成人呼吸窘迫综合征病例。这些患者即使采用最先进的传统机械通气技术,也很难实现氧合。在所有病例中,患者转为俯卧位时氧合情况显著改善。关于使用俯卧位进行通气的报道很少,这是该国首次报道此类情况。本文对其有效的推测机制进行了综述。