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儿童急性呼吸窘迫综合征肺复张及呼气末正压滴定方法
引用本文:陈伟明,陆国平. 儿童急性呼吸窘迫综合征肺复张及呼气末正压滴定方法[J]. 中国当代儿科杂志, 2018, 20(9): 706-712. DOI: 10.7499/j.issn.1008-8830.2018.09.003
作者姓名:陈伟明  陆国平
作者单位:陈伟明, 陆国平
摘    要:应用小潮气量及限制气道压力进行机械通气的策略在急性呼吸窘迫综合征中的应用已经得到公认。肺复张及呼气末正压(PEEP)滴定能提高氧合并进行肺保护,但是肺复张及PEEP设定方法一直存在争议,该文就呼吸窘迫综合征患儿的肺复张策略及PEEP滴定进行综述。

关 键 词:急性呼吸窘迫综合征  呼气末正压  肺复张  儿童  
收稿时间:2018-03-02
修稿时间:2018-04-26

Lung recruitment maneuvers and positive end-expiratory pressure titration in children with acute respiratory distress syndrome
CHEN Wei-Ming,LU Guo-Ping. Lung recruitment maneuvers and positive end-expiratory pressure titration in children with acute respiratory distress syndrome[J]. Chinese journal of contemporary pediatrics, 2018, 20(9): 706-712. DOI: 10.7499/j.issn.1008-8830.2018.09.003
Authors:CHEN Wei-Ming  LU Guo-Ping
Affiliation:CHEN Wei-Ming, LU Guo-Ping
Abstract:

The application of small tidal volume and the limitation of airway pressure during mechanical ventilation in acute respiratory distress syndrome (ARDS) are well accepted. Lung recruitment and positive end-expiratory pressure (PEEP) titration can improve oxygenation and protect the lungs. However, the approaches of lung recruitment and PEEP titration remain controversial. This article reviews the lung recruitment maneuvers and PEEP titration in children with ARDS.

Keywords:

Acute respiratory distress syndrome|Positive end-expiratory pressure|Lung recruitment|Child

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