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辅助机械通气时吸气起始点判断方法的比较

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摘要 理想状态下,辅助机械通气时,呼吸机的呼吸周期和辅助强度应与患者呼吸中枢的呼吸周期和中枢驱动水平协调一致,当它们不能协调一致时,就会出现人机不同步。自从辅助机械通气被广泛应用于临床以来,人机不同步就是困扰广大临床医生的一个重要问题,它可以增加患者的痛苦和不必要的呼吸功、增加气压伤的发病率,甚至降低氧合、损害心功能,进而导致辅助机械通气时间延长,增加患者人住重症监护病房(ICU)的时间,造成不必要的浪费。有时如果严重人机不同步未被及时纠正,甚至可以导致通气失败,造成患者死亡。
出处 《临床荟萃》 CAS 2013年第2期188-191,共4页 Clinical Focus
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参考文献14

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