治疗急性呼吸窘迫综合征的机械通气PEEP调节方法比较  

Comparison of mechanical ventilation PEEP regulation methods in treatment of acute respiratory distress syndrome

作　　者：郭昊冈 王慧泉[1] 韦然[1] 余明 陈锋 袁晶 张广 GUO Hao-gang;WANG Hui-quan;WEI Ran;YU Ming;CHEN Feng;YUAN Jing;ZHANG Guang(School of Life Sciences,Tianjin Polytechnic University,Tianjin 300384,China;Institute of Medical Support Technology,Academy of System Engineering of Academy of Military Science of Chinese PLA,Tianjin 300161,China)

机构地区：[1]天津工业大学生命科学学院,天津300384 [2]军事科学院系统工程研究院卫勤保障技术研究所,天津300161

出　　处：《医疗卫生装备》2020年第12期86-89,96,共5页Chinese Medical Equipment Journal

基　　金：国家重点研发计划项目(2017YFC0806402,2017YFC0806404);天津市科技重大专项(18ZXJMTG00060)。

摘　　要：阐述了急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)的危害,综述了调节呼气终末正压(positive end-expiratory pressure,PEEP)的最佳氧合法、压力-容积曲线法、最佳顺应性法和监测食道压法等方法的优缺点及临床意义。提出了应结合患者的病因、病情、医疗环境等因素选取最适合的调节PEEP方法。The harm of acute respiratory distress syndrome(ARDS)was described,and some methods for regulating positive end-expiratory pressure(PEEP)had their advantages,disadvantages and clinical significances reviewed including the oxygenation method,the pressure volume curve method,the best compliance method and the method by monitoring esophageal pressure.It's pointed out PEEP regulation had to be executed in light of the patient's etiology,condition and medical environment.

关 键 词：急性呼吸窘迫综合征 机械通气 肺保护通气策略 PEEP 

分 类 号：R563.8[医药卫生—呼吸系统]