非对称性肺损伤的诊疗进展  

Progress of asymmetrical lung injury diagnoses and treatment

作　　者：孙晓桐 何怀武[1] Sun Xiaotong;He Huaiwu(Department of Critical Care Medicine,State Key Laboratory of Critical Care and Rare Diseases,Peking Union Medical College,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院疑难重症及罕见病国家重点实验室重症医学科,北京100730

出　　处：《中华重症医学电子杂志》2024年第3期287-291,共5页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

基　　金：中国医学科学院临床与转化医学研究基金项目(2023-I2M-C&T-B-014);首都医学科技创新成果转化优促计划赋能项目(YC202301QX0024)

摘　　要：非对称性肺损伤主要指肺损伤存在左右肺损害程度不对称的现象,有别于以重力依赖区和非重力依赖区肺损害程度不同为特征的常见肺损伤。非对称性肺损伤在病理生理学特点和呼吸力学特征等方面具有其特殊性,近来受到人们的关注。本文主要介绍非对称性肺损伤的流行病学、常见病因、诊断方法、呼吸力学特点、肺电阻抗技术的应用和治疗方案等,以期促进对该类型肺损害的理解和进一步研究,为这一类患者提供针对性治疗。Asymmetrical lung injury refers to the heterogeneous lung injury in the left and right lungs,which is different from the common lung injury characterized by the heterogeneity of anteroposterior gravity gradient.Asymmetrical lung injury,with its particularities in terms of pathophysiological features and respiratory mechanics,has received recent attention.This review focuses on the epidemiology,common causes,diagnosis,respiratory mechanics characteristics,application of electrical impedance tomography and therapy for asymmetric lung injury,with the hope of promoting understanding and further research into this type of lung damage and providing targeted treatment for this group of patients.

关 键 词：非对称性肺损伤 电阻抗断层扫描 呼气末正压 气道开放压力 

分 类 号：R563[医药卫生—呼吸系统]