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急性呼吸窘迫综合征患者俯卧位通气的护理 被引量:9

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摘要 俯卧位机械通气(Prone Ventilation)是指在实施机械通气时把患者置于俯卧式体位,从而可以使急性呼吸窘迫综合征(ARDS)患者增加功能残气量,改变膈肌的运动方式和位置,利于分泌物的引流,减少纵膈和心脏对肺的压迫,改变胸壁的顺应性从而改善氧和[1]。1967年Piehl等首次报道俯卧位通气(prone Position ventilation,PPV)在呼吸衰竭患者中的疗效[2],临床上逐渐将其应用于ARDS患者的治疗,也成为护理研究的热点之一。
作者 肖媛媛
出处 《河北联合大学学报(医学版)》 2012年第5期702-703,共2页 Journal of North China Coal Medical College
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参考文献8

  • 1黄志俭,陈荣昌.俯卧位通气在急性呼吸窘迫综合征中的临床应用及进展[J].国际呼吸杂志,2006,26(6):452-453. 被引量:49
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二级参考文献20

  • 1Ward NS. Effects of prone position ventilation in ARDS. Anevidence-based review of the literature. Crit Care Clin, 2002, 18(1) :35-44.
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  • 5Weiner CM, McKenna WJ, Myers MJ, et al. left lower lobe ventilation is reduced in patients with cardiomegaly in supine but not the prone position. Am Rev Respir Dis, 1990,141 (1): 150-155.
  • 6Brower RG, Fessler HE. Mechanical ventilation in acute lung injury and acute respiratory distress syndrome. Clin Chest Med,2000,21(3) : 491-510.
  • 7Lira CM,Kim EK, Lee JS,et al. Comparison of the response to the prone position between pulmonary and extrapulmonary acute respiratory distress syndrome. Intensive Care Med, 2001,27(3) :477-485.
  • 8Broccard A, Shapiro RS, Schmitz LL, et al. Prone positioning attenuate and redistributes ventilator-induced lung injury indogs. Crit Care Med,2000,289(2) :295-303.
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共引文献48

同被引文献45

  • 1Pierrakos C, Karanikolas M , Scolletta S,et al. Acute respiratorydistress syndrome:pathophysiology and therapeutic options [J].J Clin Med Res,2012,4( 1 ) :7 -16.
  • 2Rival G,Patry C, Floret N,et al. Prone position and recruitmentmanoeuvre:the combined effect improves oxygenation [J]. CritCare,2011,15(3) :125.
  • 3Taccone P, Pesenti A, Latini R,et al. Prone positioning in pa-tients with moderate and severe acute respiratory distress syn-drome :a randomized controlled trial [ J ]. JAMA, 2009,302(18) :1977 -1984.
  • 4Chiumello D,Taccone P,Berto V,et al. Long - term outcomes insurvivors of acute respiratory distress syndrome ventilated in su-pine or prone position [J]. Intensive Care Med, 2012 ,38 ( 2 ):221 -229.
  • 5Guerin C,Reignier J ,Richard JC,et al. Prone positioning in se-vere acute respiratory distress syndrome [ J ]. N Etigl J Med,2013,369(23) ;2159 -2168.
  • 6Mac Sweeney R, Fischer H, MeAaley Df\ Nasal potential di-fierenee to detect Na channel dysfunction in acute lung injury[J]. Am J Physiol Lung Cell Mol Physiol ,2011,300 ( 3 ) :305-318.
  • 7许启霞,詹庆元,王辰,庞宝森,杜敏捷.俯卧位通气加肺复张对急性呼吸窘迫综合征的作用[J].中国危重病急救医学,2008,20(10):592-596. 被引量:20
  • 8赵俊英.神经外科手术俯卧位并发症的预防与护理[J].中国医药导报,2009,6(5):93-94. 被引量:6
  • 9袁曼萍,王丽.应用俯卧位通气治疗ARDS患者的临床护理策略[J].中国医学创新,2010,7(4):137-138. 被引量:13
  • 10费素定,邵亚娣.循证护理在重症监护病房镇静治疗病人中的临床实践[J].全科护理,2010,8(8):674-675. 被引量:5

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