高频部分液体通气对吸入伤犬呼吸循环功能的影响  

The influence of high frequency partial liquid ventilation on the cardiopulmonary function in dogs with inhalation injury

作　　者：郭光华[1] 钱克俭[2] 朱峰[1] 熊龙[1] 王联群[2] 李国辉[1] 赵为禄[2] 曹勇[1] 

机构地区：[1]江西医学院第一附属医院烧伤中心,南昌330006 [2]江西医学院第一附属医院麻醉科ICU,南昌330006

出　　处：《中华烧伤杂志》2002年第6期346-349,共4页Chinese Journal of Burns

基　　金：国家自然科学基金资助项目 (39760 0 73);江西省主要学科跨世纪学术和技术带头人培养计划资助项目 (1999)

摘　　要：目的　观察高频部分液体通气 (highfrequencypartialliquidventilation ,HFPLV)对吸入性损伤犬肺力学、氧合和血流动力学参数的影响。　方法　 16条犬经吸入蒸气 ,造成重度吸入性损伤模型 ,并随机分为对照组和治疗组。两组动物致伤后均行高频喷射通气 (highfrequencyjetventila tiot,HFJV) ,治疗组同时经气管导管缓慢注入氟碳液体 (3ml/kg体重 ) ,行HFPLV治疗 ,于通气后3 0、60和 90min时测定两组动物血气、肺顺应性、气道阻力及血流动力学参数。　结果　治疗组PaO2 呈进行性上升 ,在各时相点与致伤后比较差异有显著性意义 (P <0 .0 5 ) ,而对照组各时相点与致伤后比较差异无显著性意义 (P >0 .0 5 ) ;治疗组PaCO2 也逐渐增高 ,于 60、90min显著高于致伤后水平 (P <0 .0 5 )。与对照组比较 ,治疗组各时相点的PaO2 稍有升高 (P >0 .0 5 ) ,PaCO2 于 90min显著增高 (P <0 .0 5 ) ,而两组动 /静态气道阻力、肺顺应性和血流动力学参数比较 ,差异均无显著性意义 (P >0 .0 5 )。　结论　HFPLV与单纯HFJV相比 ,更有利于吸入性损伤的动脉氧合 。Objective To investigate the influence of high frequency partial liquid ventilation (HFJV) on the cardiopulmonary function in dogs with inhalation injury. Methods Sixteen mongrel dogs inflicted by hot steam inhalation were subjected to severe inhalation injury and were randomly divided into control(C) and treatment(T) groups. The dogs in both groups were all given HFJV. In addition, the dogs in T group were simultaneously supplied with perfluorocarbon liquid (3 ml/kg) into the lungs slowly via tracheal intubation for liquid ventilation. The blood gas analysis , pulmonary compliance, airway resistance and hemohynamic parameters were determined at 30, 60 and 90 minutes after ventilation. Results The PaO 2 in T group increased progressively, which was significantly higher than the post-injury value at all time points (P<0.05). While the PaO 2 in C group exhibited no difference to the post-injury value at all time points. The PaCO 2 in T group increased obviously and was higher than the post-injury value at 60 and 90 post-ventilation minutes (P<0.05). Furthermore, the PaO 2 in all the time points in T group was a little higher than that in C group (P>0.05) and PaCO 2 in T group was much higher than that in C group at 90 min after ventilation (P<0.05). But there was no difference between the two groups in terms of dynamic/static pulmonary compliance and airway resistance as well as the hemodynamics. Conclusion Compared with simple HFJV, high frequency partial liquid ventilation seemed to be beneficial to the oxygenation after inhalation injury and to be no influence on the hemodynamics.

关 键 词：高频部分液体通气 吸入性损伤 肺力学 氧合 血流动力学 

分 类 号：R644[医药卫生—外科学]