剖胸术后的呼吸支持  

RESPIRATION SUPPORTING AFTER THORACOTOMY

作　　者：陈彤宇[1] 杜建伟[1] 方立德[1] 

机构地区：[1]上海第二医科大学附属第九人民医院,上海200011

出　　处：《海南医学》2000年第3期15-16,共2页Hainan Medical Journal

摘　　要：目的：探索机械通气在治疗因剖胸手术后出现急性呼吸窘迫综合征的过程中的作用。方法：自93．7－99，3于刻胸术后出现急性呼吸窘迫30例患者．于重症监护室以气管插管或气管切开的方式建立人工气道．机械通气进行救治，呼吸机采用的是控制呼吸及同步间歇指令加压力支持两种常用模式，并同时进行严密监测及药物辅助治疗。结果：通过比较两种常用机械通气模式治疗前后的血气指标变化结果．提示机械通气在救治急性呼吸窘迫时的肯定作用。结论：机试通气是救治急性呼吸窘迫的有效手段．通气模式的正确选择．通气参数的及时调整，通气过程中的严密监测是治疗成功的关键。Objective: In order to observe the effection of mechanical ventilation in treating the acute respiratory distress syndrome(ARDS) which was caused by the thoracotomy. Methods: From July 1993 to July 1999, there were 30 cases who appeared ARDS after thoracotomy. All were set up artifical airway in the way of tracheal cannula or tracheotomy and were treated mchanical ventilation in the intensive care unit. The mode of the mechanical ventilation was contol and sruchronized intermittent mandatoy ventilation plus pressure support ventilation (SIMV + PSV ). The monitoring and drugs were given in the mean time. Results: The mechanical ventilation in treating the ARDS has the confirm effection thorough contrasting the blood gas before and after treatment. Conclutions:The mechanical ventilation was the effective method in treating ARDS, and must paid more attention to the mode selection, monitoring and parameter adjustment.

关 键 词：剖胸术 围术期 机械通气 胸部外科手术 呼吸支持 

分 类 号：R656[医药卫生—外科学] R605.973[医药卫生—临床医学]