急性呼吸窘迫综合征的肺保护性通气治疗现状和再认识  

Lung protective strategy in acute respiratory distress syndrome： current status and new understanding

作　　者：喻文亮[1] 

机构地区：[1]南京医科大学附属南京儿童医院急诊医学科/重症医学科,210008

出　　处：《中华实用儿科临床杂志》2016年第18期1381-1383,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：肺保护性通气策略一直是近20年来急性呼吸窘迫综合征（ARDS）的标准治疗。小潮气量通气、相对高呼气末正压通气（PEEP）及限制平台压是肺保护性通气策略的主要构成。依据近年相关临床研究，现回顾并总结肺保护性通气策略的临床现状，提出临床医师在临床中应该采取的最佳通气策略。同时结合应力与应变从理论探讨呼吸机相关性肺损伤的机制和对肺保护性通气策略的再认识。For the last 20 years,lung protective strategy which comprises of low tidal volume, higher positive end expiratory pressure, and limited plateau pressure has become a standard care for acute respiratory distress syndrome （ ARDS）, but still do not know the best way to ventilate patients with ARDS. This article reviews clinical trials related to lung protective strategy published in recent years and give some suggestions in optimal mechanical ventilation. In ad- dition, the article also introduces some concept of ventilator related lung injury and new understanding in lung protective strategy using stress and strain theory.

关 键 词：急性呼吸窘迫综合征 肺保护性通气策略 应力 应变 

分 类 号：R725.6[医药卫生—儿科]