肺保护性通气策略加肺复张术在肺外源性ARDS患者的应用观察(2)
本研究患者均可耐受RM实施,无明显气压伤发生,且血流动力学较稳定,RM后氧合及顺应性明显改善,提示其在ARDSexp临床应用较安全有效,值得临床推广使用。
参 考 文 献
[1] Bernard GR, Artigas KL, BrighamJ, et al The American European Consensus Conference on ARDS:definitions, mechanisms, relevant outcomes,and clinical trial coordination. Am J Respire Crit Med,1994,149:8182.
[2] 中华医学会重症分会急性肺损伤/急性呼吸窘迫综合征诊和治指南(2006).中国实用外科杂志,2007,27(1):16.
[3] 隆云急性呼吸窘迫综合征严重低氧血症时的选择肺复张治疗.中华医学信息导报,2010,25(16):1920.
[4] Lachmann BOpen up the lung and keep the lung open.Intensive Care Med 1992,18: 319321.
[5] 徐磊,王书鹏,张纳新,等不同呼气末正压水平对绵羊急性呼吸窘迫综合征模型肺复张效果及血流动力学的影响.中国危重病急救医学,2005,17:679682.
[6] 杨全会,刘大为,等小潮气量结合肺复张术对食管癌开胸术后早期急性呼吸窘迫综合征患者的疗效.中华外科杂志,2010,48(19):14841487.
[7] Chacko J,Rani UAlveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome Indian J Crit Care Med,2009,13:16.
[8] Agarwal R, Aggarwal AN, et alEtiology and outcomes of pulmonary and extrapulmonary acute lung injury/ARDS in a respiratory ICU in North India. Chest,2006,130(3):724729.
[9] Gattinoni L, Pelosi P, Suter PM, et al Acute respiratory distress syndrome caused by pulmonary and extra pulmonary disease:different syndromes?Am J Respir Crit Care Med,1998,158:3211., http://www.100md.com(李雅昆)
参 考 文 献
[1] Bernard GR, Artigas KL, BrighamJ, et al The American European Consensus Conference on ARDS:definitions, mechanisms, relevant outcomes,and clinical trial coordination. Am J Respire Crit Med,1994,149:8182.
[2] 中华医学会重症分会急性肺损伤/急性呼吸窘迫综合征诊和治指南(2006).中国实用外科杂志,2007,27(1):16.
[3] 隆云急性呼吸窘迫综合征严重低氧血症时的选择肺复张治疗.中华医学信息导报,2010,25(16):1920.
[4] Lachmann BOpen up the lung and keep the lung open.Intensive Care Med 1992,18: 319321.
[5] 徐磊,王书鹏,张纳新,等不同呼气末正压水平对绵羊急性呼吸窘迫综合征模型肺复张效果及血流动力学的影响.中国危重病急救医学,2005,17:679682.
[6] 杨全会,刘大为,等小潮气量结合肺复张术对食管癌开胸术后早期急性呼吸窘迫综合征患者的疗效.中华外科杂志,2010,48(19):14841487.
[7] Chacko J,Rani UAlveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome Indian J Crit Care Med,2009,13:16.
[8] Agarwal R, Aggarwal AN, et alEtiology and outcomes of pulmonary and extrapulmonary acute lung injury/ARDS in a respiratory ICU in North India. Chest,2006,130(3):724729.
[9] Gattinoni L, Pelosi P, Suter PM, et al Acute respiratory distress syndrome caused by pulmonary and extra pulmonary disease:different syndromes?Am J Respir Crit Care Med,1998,158:3211., http://www.100md.com(李雅昆)