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肺复张策略在急性呼吸窘迫综合征中的应用 被引量：4

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摘要 急性肺损伤／呼吸窘迫综合征（acute lung injury／acute respiratory distresssyndrome，ALI／ARDS）是一种临床危急重症。自1967年Ashbaugh等首次报道以来，一直为大家所重视。经过40余年的基础和临床研究，对ARDS的发病机制有了深刻的认识。目前认为，肺泡大量陷闭导致肺容积明显减少是ARDS的主要病理生理特点之一，为保证ARDS患者的氧合，必须将萎陷的肺泡再度开放并维持其开放的状态，肺复张策略作为肺保护通气策略的一部分得以提出，其实施的手段多种多样，如控制性肺膨胀、
作者 潘景业 马继红 陈洁
机构地区 温州医学院附属第一医院ICU
出处 《中国急救复苏与灾害医学杂志》 2008年第5期302-306,共5页 China Journal of Emergency Resuscitation and Disaster Medicine
关键词 急性呼吸窘迫综合征 肺复张 ARDS 病理生理特点 控制性肺膨胀 临床研究 急性肺损伤 LUNG
分类号 R563.8 [医药卫生—呼吸系统] R541.63 [医药卫生—心血管疾病]
  • 相关文献

参考文献47

  • 1[1]Ashbaugh DG,Bigelow DB,Petty T L,et al.Acute respiratory distress in adults.Lancet,1967,2(7511):319-323.
  • 2徐磊,王书鹏,张纳新,秦英智.不同呼气末正压水平对绵羊急性呼吸窘迫综合征模型肺复张效果及血流动力学的影响[J].中国危重病急救医学,2005,17(11):679-682. 被引量：22
  • 3[3]Lachmann B.Open up the lung and keep the lung open.Intensive Care Med,1992.18(6):319-321.
  • 4[4]Muscedere JG,Mullen JBM,Gan K,et al.Tidal ventilation at low airway pressures can augment lung injury.Am J Respir Crit Care Wed,1994,149(5):1327-1334.
  • 5[5]Albert RK,Hubmayr RD.The prone position eliminates compression of the lungs by the heart.Am J Respir Crit Care Med,2000,161(5):1660-1665.
  • 6[6]Arold SP,Wera R,Lutchen KR,et al.Variable tidal volume ventilation improves lung mechanics and gas exchange in a rodent model of acute lung injury.Am J Respir Crit Care Wed,2002,165(3):366-371.
  • 7[7]Bellingan GJ.The pulmonary physician in critical care 6:the pathogenesis of ALI/ARDS.Thorax,2002,57:(6)540-546.
  • 8[8]Webb HH,Tierney DF.Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures.Protection by positive end-expiratory pressure.Am Rev Respir Dis 1974,110(5):556-565.
  • 9[9]Muscedere JG,Wullen JB,Gan K,et al.Tidal ventilation at low airway pressures can augment lung injury.Am J Respir Crit Care Wed,1994,149(5):1327-1334.
  • 10[10]Dreyfuss D,Saumon G.Venti later-induced lung injury:lessons from experimental studies.Am J Respir Crit Care Wed 1998,157(1):294-323.

二级参考文献19

  • 1徐磊,王书鹏,秦英智,张纳新.绵羊急性呼吸窘迫综合征开放肺压力安全性的实验研究[J].中国危重病急救医学,2005,17(8):468-471. 被引量：18
  • 2Halter J M,Steinberg J M,Schiller H J,et al.Positive end-expiratory pressure after a recruitment maneuver prevents both alveolar collapse and recruitment/derecruitment[J].Am J Respir Crit Care Med,2003,167:1620-1626.
  • 3Nieszkowska A,Lu Q,Vieira S,et al.Incidence and regional distribution of lung overinflation during mechanical ventilation with positive end-expiratory pressure[J].Crit Care Med,2004,32:1496-1503.
  • 4Milo P,Nader M.Airway pressure release ventilation:theory and practice[J].AACN Clin Issues,2001,12:234-246.
  • 5Servillo G,De Robertis E,Maggiore S,et al.The upper inflection point of the pressure-volume curve:influence of methodology and of different modes of ventilation[J].Intensive Care Med,2002,28:842-849.
  • 6Kallet R H.Pressure-volume curves in the management of acute respiratory distress syndrome[J].Respir Care Clin N Am,2003,9:321-341.
  • 7Putensen C,Norbert J M,Putensen-Himmer G,et al.Spontaneous breathing during ventilatory support improves ventilation-perfusion distributions in patients with acute respiratory distress syndrome[J].Am J Respir Crit Care Med,1999,159:1241-1248.
  • 8Lewis J,Heatherlee B,Vincent F.Airway pressure release ventilation increases cardiac performance in patients with acute lung injury/acute respiratory distress syndrome[J].Crit Care,2001,5:221-226.
  • 9Lachmann B. Open up the lung and keep the lung open[J].Intensive Care Med, 1992,18 : 319 - 321.
  • 10Milberg J A,Davis D R,Steinberg K P,et al. Improved survival of patients with acute respiratory distress syndrome (ARDS):1983 - 1993[J]. JAMA,1995,271:306 - 309.

共引文献25

同被引文献70

  • 1商和丽,杨佩晶,胡秀丽.两种呼吸模式机械通气治疗ARDS的疗效观察[J].齐鲁护理杂志,2007,13(1):19-20. 被引量：2
  • 2马晓春,王辰,方强,刘大为,邱海波,秦英智,席修明,黎毅敏.急性肺损伤/急性呼吸窘迫综合征诊断和治疗指南(2006)[J].中国危重病急救医学,2006,18(12):706-710. 被引量：613
  • 3Meade MO, Cook D J, Guyatt GH, et al. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial [ J ]. JAMA, 2008,299 ( 6 ) : 637-645.
  • 4Nielsen J, Ostergaard M, Kjaergaard J, et el. Lung recruitment maneuver depresses central hemodynamics in patients following cardiac surgery [ J ]. Int Care Med ,2005,31 (9) : 1189-1194.
  • 5Celebi S, Koner O, Menda F, et al. The pulmonary and hemodynamie effects of two different recruitment maneuvers after cardiac surgery [ J]. Anesth Analg,2007,104(2) :384-390.
  • 6Fan E,Wilcox ME, Brower RG, et al. Recruitment maneuvers for acute lung injury : a systematic review [ J ]. Am J Respir Crit Care Med,2008,178( 11 ) :1156-1163.
  • 7Huh JW, Hong SB, Lim CM, et al. Effect of the alveolar reeruitment manoeuvre on haemodynamic parameters in patients with acute respiratory distress syndrome: relationship with oxygenation[J]. Respirology, 2010,15(8) : 1220-1225.
  • 8Mahmoud KM, Ammar AS. A comparison between two different alveolar recruitment maneuvers in patients with acute respiratory distress syndrome[J]. Int J Crit Illn Inj Sci,2011,1 (2) :114-120.
  • 9Guerin C, Debord S, Leray V, et al. Efficacy and safety of recruitment maneuvers in acute respiratory distress syndrome[J]. Ann Intensive Care, 2011,19 : 1(1) : 9.
  • 10Blank R, Napolitano LM. Epidemiology of ARDS and ALI. Crit Care Clin, 2011,27(3):439-458.

引证文献4

二级引证文献8

中国急救复苏与灾害医学杂志
2008年 第5期

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