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呼吸力学导向的机械通气策略 被引量：6

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摘要 机械通气是各种原因所致呼吸衰竭非常重要的对症支持治疗手段,其极大程度地改善了患者预后.然而,不恰当的机械通气往往会引起呼吸机所致肺损伤（ventilator induced lung injury,VILI）,因此恰当的制定通气策略是机械通气成功的关键因素.由于呼吸运动过程本身就是在中枢调控、神经反射等的调节下,呼吸肌肉收缩（或舒张）进而驱动气体吸入（或呼出）的力学过程.呼吸力学在机械通气中的意义越来越引起广大学者的关注.呼吸力学就是研究与呼吸运动有关的压力、容积和流量三要素及其相关的顺应性、阻力和呼吸做功等力学参数的一门科学.呼吸系统的各种疾病都会引起呼吸力学的改变,从而使呼吸运动发生异常.因此,呼吸力学是呼吸生理学的重要组成部分,也是机械通气的理论基础,是恰当的制定通气策略的重要依据.
作者 刘奇 陈荣昌 程哲 王欢
机构地区 郑州大学第一附属医院呼吸与危重症医学科 呼吸疾病国家重点实验室(广州医科大学第一附属医院)广州呼吸疾病研究所
出处 《中华结核和呼吸杂志》 CAS CSCD 北大核心 2014年第12期954-957,共4页 Chinese Journal of Tuberculosis and Respiratory Diseases
关键词 机械通气策略 呼吸力学 呼吸机所致肺损伤 导向 对症支持治疗 呼吸运动 呼吸生理学 呼吸衰竭
分类号 R563.8 [医药卫生—呼吸系统]
  • 相关文献

参考文献32

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二级参考文献48

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共引文献20

同被引文献99

  • 1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：604
  • 2Gattinoni L, Pesenti A. The concept of " baby lung " [ J ]. Intensive Care Med,2005,31 (6) :776-784.
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引证文献6

二级引证文献22

中华结核和呼吸杂志
2014年 第12期

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