| 慢性阻塞性肺疾病病人机械通气时内源性呼气末正压测定 |
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| 引用本文： | 王忠卯,何树常,方菊花. 慢性阻塞性肺疾病病人机械通气时内源性呼气末正压测定[J]. 西北国防医学杂志, 1998, 0(4) |
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| 作者姓名： | 王忠卯 何树常 方菊花 |
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| 作者单位： | 解放军第１５医院 |
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| 摘 要： | 目的：测定慢性阻塞性肺疾病（ＣＯＰＤ）患者机械通气时的内源性呼气末正压（ＰＥＥＰｉ）。方法：应用呼气末阻断法测定了３６例ＣＯＰＤ患者机械通气时的ＰＥＥＰｉ。结果：１５例中度ＣＯＰＤ病人中的７例和２１例重度ＣＯＰＤ病人中的１８例存在ＰＥＥＰｉ。两组间Ｐ＜０．０１。结论：ＣＯＰＤ病人机械通气时应常规测量ＰＥＥＰｉ，加强气道管理，调整通气模式和参数，可提高通气治疗疗效。
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| 关 键 词： | 慢性阻塞性肺疾病；机械通气；内源性呼气末正压 |
Measurement of Endogenous Positive End Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Diseases during Mechanical Ventilation |
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| Wang Zhongmao,He Shuchang,Fang Juhua.. Measurement of Endogenous Positive End Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Diseases during Mechanical Ventilation[J]. Medical Journal of National Defending Forces in Northwest China, 1998, 0(4) |
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| Authors: | Wang Zhongmao He Shuchang Fang Juhua. |
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| Abstract: | Purpose: To measure the endogenous positive end expiratory pressure(PEEPi) in patients with chronic obstructive pulmonary diseases (COPD) during mechanical ventilation. Methods: 36 COPD patients were studied through end expiratory blocking method. Results: 7 out of 15 moderate COPD patients and 18 out of 21 severe COPD patients had PEEPi. There was significant difference( P <0.01) between PEEPi ocurrences of moderate and severe COPD groups. Conclusion: when COPD patients are in air passage management and to adjust the models and parameters of ventilation are good ways to improve the curative effect of mechanical ventilation. |
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| Keywords: | Chronic obstructive pulmonary disease(COPD) Mechanical ventilation Endogenous positive end expiratory pressure(PEEPi) |
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