摘要
肺复张策略是肺保护性通气策略的一部分,通过肺复张可减少肺损伤、降低低氧血症的发生率。体外循环术后患者由于手术和机械通气损伤可造成肺损伤导致低氧血症。因肺复张可能对体外循环术后患者血流动力学造成影响,在为其实施肺复张时应把握实施肺复张的时机、通气模式、通气压力及维持时间、复张后呼气末正压的维持、复张频率,严密监测,减少并发症的发生。
Lung recruitment maneuver（ RM） can reduce lung injury and the incidence of hypoxemia,which is a part of the lung protective ventilation strategy. Cardiopulmonary bypass（ CPB） surgery and postoperative mechanical ventilation could lead to hypoxemia of the patients. RM may impact on the hemodynamic of patients after CPB. Therefore,it is important to choose the proper opportunity,ventilation mode,ventilation pressure,maintain time,positive end-expiratory pressure and frequency when carrying out RM for patients after CPB,in order to reduce the incidence of complications.
出处
《医学综述》
2014年第22期4114-4116,共3页
Medical Recapitulate
关键词
肺复张策略
体外循环
术后
Lung recruitment maneuver
Cardiopulmonary bypass
Postoperative
