早期急性呼吸窘迫综合征的机械通气治疗  

MECHANICAL VENTILATION IN THE TREATMENT OF EARLY ACUTE RESPIRATORY DISTRESS SYNDROME

作　　者：郭毅[1,2,3,4] 王秀琳[1,2,3,4] 戴守斋 刘玉兰 

机构地区：[1]青岛市市立医院ICU [2]青岛市商业职工医院内科 [3]即墨市第二人民医院内科 [4]诸城市人民医院手术室

出　　处：《青岛医学院学报》1997年第2期145-146,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的探讨小潮气量及压力支持通气（ＰＳＶ）在早期急性呼吸窘迫综合征（ＡＲＤＳ）治疗中的应用。②方法按６～８ｍｌ／ｋｇ体重潮气量机械通气，适当给予呼气末正压（ＰＥＥＰ），选用ＰＳＶ方式撤机。③结果早期ＡＲＤＳ按上述方法行机械通气治疗，可迅速改善肺换气功能，提高动脉血氧分压，减慢呼吸频率，撤机安全、可靠。④结论该模式可靠。Objective To investigate the effect of small tidal volume and pressure support ventilation(PSV) in the treatment of early Acute Respiratory Distress Syndrome(ARDS). Methods A tidal volume of 6 to 8ml/kg was applied with suitable positive end expiratory pressure(PEEP). The ventilation process was weaned from PSV. Results Early mechanical ventilation could improve ventilation function, increase PaO 2, reduce respiration rate. Weaning from PSV was safe. Conclusion The study suggests that small tidal volume and PSV ventilation are safe and effective.

关 键 词：急性 呼吸窘迫综合征 机械通气 

分 类 号：R563.805[医药卫生—呼吸系统]