保护性肺通气对婴儿围体外循环期肺功能的影响 |
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引用本文: | 陈芳,王涛,马星钢,张道珍. 保护性肺通气对婴儿围体外循环期肺功能的影响[J]. 中国小儿急救医学, 2002, 16(1): 234-236. DOI: 10.3760/cma.j.issn.1673-4912.2009.03.010 |
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作者姓名: | 陈芳 王涛 马星钢 张道珍 |
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作者单位: | 深圳市儿童医院麻醉科,518026; |
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摘 要: | Objective To investigate the impact of static inflation and intermittent ventilation on lung function peri-cardiopulmonary bypass(CPB) in infants.Methods Sixty infants of less than 1-year-old,with ventricular septal defect were selected to assigned to two groups:the treatment group(n=30),given static inflation and intermittent ventilation once every 10 minutes during CPB;the control group(n = 30),no ventilation during CPB.Indicators of pulmonary function including OI,PaO2/PAO2,A-aDO2 and RI were recorded before CPB and 2 h,6 h,12 h,24 h and 48 h after CPB.Results At 2 h,6 h,12 h after CPB,OI and PaO2/PAO2 of the treatment group were higher than those of the control group(P<0.05).A-aDO2 of the treatment group was lower than that of the control group at 2 h,6 h,12 h,48 h after CPB(P<0.05).RI of the treatment group was lower than that of the control group at 6 h,12 h after CPB(P <0.05).Conclusion Static inflation and intermittent ventilation during CPB can improve early oxygenation of lung,and have good lung protection in infants.
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关 键 词: | 肺通气 肺功能 体外循环 婴儿 |
Influence of static inflation and Intermittent ventilation on lung function during cardiopulmonary bypass in infants |
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Abstract: | |
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Keywords: | Lung ventilationLung funetionCardiopulmonary bypassInfant |
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