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保护性通气策略在小儿急性呼吸窘迫综合征治疗中的临床应用效果 被引量:9

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摘要 随着现代儿科危重医学的发展,人们对儿童急性呼吸窘迫综合征(ARDS)的认识逐渐增多,临床应用呼吸机抢救ARDS的机会也日益增多,但随着对ARDS的病理生理和机械通气机制的进一步阐明,发现用常规通气模式易致呼吸机相关性肺损伤,而近年来肺保护性通气策略已在成人领域取得了很好的效果[1]
出处 《临床荟萃》 CAS 2011年第5期405-406,共2页 Clinical Focus
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  • 1Brower RG, Ware LB, Berthiaume Y, et al. Treatment of ARDS. Chest, 2001; 120(4): 1347-1367
  • 2Fraisse A, Part O, Viard L, et al. Recent development in the treatment of pediatric acute respiratory distress syndrome.Arch Pediatr, 1998; 5(10) :1107-1121
  • 3Ware LB, Matthay MA. Medical progress: The acute respiratory distress syndrome. N Engl J Med, 2000; 342(5):1334-1349
  • 4Tobin MJ. Advances in mechanical ventilation. N Engl J Med,2001 ; 344(26) :986-996
  • 5Bernard GR, Argigas A, Brigham KL, et al. The American European consensus on ARDS: Definitions mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Med, 1994; 149(3Ptl):818-824
  • 6Lu Q, Viera SRR, Richecoeyr J, et al. A simple automated method for measuring pressure - volume curves during mechanical ventilation. Am J Respir Crit Care Med, 1999; 159(2) :275-282
  • 7The Acute Respiratorg Distress Syndrom Network Ventilation withLower tidal Volumes as Compared with tradi tional tidal Volumes for acute Lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342:1301-1308
  • 8Tremblay LN, Slutsky AS. Ventilator induced injury: from batotrauma to biotrauma.Proc Assoc Am physicians, 1998, 110:482 - 488
  • 9Brower R, Shanhokltz C, Shade D et al . Randomized trial of small tidal volume ventilation(STV)in ARDS. Crit Care Med, 1999, 27:1492- 1498
  • 10Bernard GR Report of the American European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordlination. Intensive Care Med, 1994, 20: 225- 232

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