Borchert K, Benad G, Lange G
Zentralbl Chir. 1977;102(11):641-8.
Postoperatively patients are particularly endangered by the development of respiratory failure. All parts of the gas-exchange between the atmospharic air and the metabolizing cell are to be considered as a unit. The increase of dead-volume-respiration and intrapulmonary shunting is of great importance for the development of arterial hypoxaemia. Early diagnosis of impaired gas-exchange and an adequate treatment are emphasized. CPAP and intermittent mandatory ventilation are therapeutic methods, well approved in clinical practice.
术后患者尤其容易因呼吸衰竭的发生而受到威胁。大气与代谢细胞之间气体交换的各个环节都应被视为一个整体。无效腔通气和肺内分流的增加对动脉血氧不足的发生具有重要意义。强调对气体交换受损进行早期诊断并给予适当治疗。持续气道正压通气(CPAP)和间歇性强制通气是临床实践中已得到充分认可的治疗方法。