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| 压力控制法肺复张在急性呼吸窘迫综合征中的应用 | |
| 引用本文： | 罗婉琳. 压力控制法肺复张在急性呼吸窘迫综合征中的应用[J]. 医学综述, 2011, 17(3): 423-425 |
| 作者姓名： | 罗婉琳 |
| 作者单位： | 北京大学深圳医院重症监护室,广东,深圳,518036;汕头大学医学院,广东,汕头,515041 |
| 摘 要： | 机械通气是急性呼吸窘迫综合征(ARDS)的主要治疗手段,肺复张手法应用较高压力开放塌陷肺泡,并使用高呼吸末正压防止肺泡塌陷,期望恢复肺泡的同一性,减少呼吸机相关性肺损伤,改善患者预后。但近年的临床试验却得出矛盾的结果,其有效性及安全性及具体实施方法仍无统一意见。现就压力控制法肺复张在ARDS中的有效性、安全性的操作方法予以综述。 |
| 关 键 词： | 急性呼吸窘迫综合征 机械通气 压力控制法肺复张 |
The Use of Pressure-controlled Recruitment Maneuver in Patients with Acute Respiratory Distress Syndrome |
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| LUO Wan-lin. The Use of Pressure-controlled Recruitment Maneuver in Patients with Acute Respiratory Distress Syndrome[J]. Medical Recapitulate, 2011, 17(3): 423-425 | |
| Authors: | LUO Wan-lin |
| Affiliation: | LUO Wan-lin1,2,ZHANG Wei-xing2.(1.Intensive Care Unit,Shenzhen Hospital of Peking University,Shenzhen 518036,China,2.Medical College of Shantou University,Shantou 515041,China) |
| Abstract: | Mechanical ventilation is the major treatment for patients with acute respiratory distress syndrome(ARDS).Recruitment maneuvers that use high transpulmonary pressure to reopen atelectatic alveoli and employ high end-expiratory pressure to prevent alveolar collapse,with the expectation to reconstruct the alveolar homogeneity,reduce the ventilation-associated pulmonary injuries,and improve the prognosis of patients.However,the recent clinical studies show controversial results,remaining controversial in the e... |
| Keywords: | Acute respiratory distress syndrome Mechanical ventilation Pressure-controlled recruitment maneuver |
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