呼吸末正压通气在急性呼吸窘迫综合征中的临床应用  

Application of Positive End-Expiratory Pressure to Patients with Acute Respiratory Distress Syndrome

作　　者：王爱琴[1] 周韶霞[1] 刘少华[1] 

机构地区：[1]南京铁道医学院附属医院ICU

出　　处：《南京铁道医学院学报》1997年第4期273-275,共3页Journal of Nanjing Railway Medical College

摘　　要：目的：评价呼吸末正压通气（ＰＥＥＰ）在急性呼吸窘迫综合征（ＡＲＤＳ）中的临床应用价值及合宜ＰＥＥＰ的选择。方法：对２０例ＡＲＤＳ患者的临床资料进行分析。结果：２０例患者应用ＰＥＥＰ治疗后ｐａＯ２上升，吸入氧气的体积分数减低，ＰＥＥＰ在０．７８４ｋＰａ～１．１８ｋＰａ时对血流动力学影响不大，并发症亦少。结论：ＰＥＥＰ是目前抢救ＡＲＤＳ的有力手段，可防止肺泡萎陷和肺不张。bjective:To evaluate the clinical effects of positive end-expiratory pressure(PEEP) on patients with acute respiratory distress syndrome(ARDS) and the proper level of PEEP.Method:The clinical data was analyzed in 20 patients with ARDS.Result:After application of PEEP,the partial pressure of oxygen in artery(paO2) was elevated and the fractional percentage of oxygen in inspired gas decreased.The hemodynamic parameters did not change greatly by PEEP at 0.784kPa～1.180kPa(8cmH2O～12cmH2O) and it caused few complication.Conclusion:PEEP is effective in treating patients with ARDS and prevents an occurrence of alveolar collapse and atelectasis.

关 键 词：呼吸末正压通气 急性呼吸窘迫综合征 机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]