期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

气管内气体吹入对单肺通气效应的影响 被引量：1

下载PDF
导出
摘要 目的 :探讨气管内气体吹入 (TGI)对单肺通气效应的影响。方法 :对 10例ASAⅡ～Ⅲ级拟行择期胸外科手术患者 ,全身麻醉后行双腔气管插管 ,插入一细吹气导管 ,顶端至气管隆突上 1～ 2cm。随机交叉行常规单肺通气 (TGI为 0 )或持续TGI辅助通气 (5L/min)各 45min。结果 :单肺通气辅助TGI显著降低PetCO2 和PaCO2 水平。结论 :TGI促进清除CO2 。
作者 张秀燕 詹鸿 陈浩文 黄焕娟 陈荣昌
机构地区 广州医学院附属市二人民医院麻醉科 广州呼吸疾病研究所
出处 《实用医学杂志》 CAS 2002年第8期831-832,共2页 The Journal of Practical Medicine
基金 广东省医学科研基金资助课题 (编号B2 0 0 0 1 4 3)
关键词 气管内气体吹入 肺换气 人工呼吸 胸外科学 机械通气机
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献8

  • 1[1]Nahum A, Shapiro R. Adjunct to mechanical ventilation. Clin Chest Med,1996,17(3):491～511.
  • 2[2]Nahum A, Ravenscraft S, Adams AB, et al. Distal effects of tracheal gas insufflation: changes with catheter position and oleic acid lung injury. J Appl Physiol, 1996,81(3):1121～1127.
  • 3[3]Ravenscraft SA, Shapiro RS, Nahum A, et al. Tracheal gas insufflation: catheter effectiveness determined by expiratory flush volume. Am J Respir Crit Care Med,1996,153(6):1817～1824.
  • 4[4]Nakos G, Zakinthinos S, Kotanidou A, et al. Tracheal gas insufflation reduces tidal volume while PaCO2 maintained constant. Intensive Care Med,1994,20(6):407～413.
  • 5[5]Pizov R, Oppenheim A, Eidelman L, et al. Helium versus oxygen for tracheal gas insufflation during mechanical ventilation. Crit Care Med,1998,26(2):290～295.
  • 6[6]Ravenscraft SA, Burke WC, Nahum A, et al. Tracheal gas insufflation augments CO2 clearance during mechanical ventilation. Am Rev Respir Dis ,1993,148(2):345～351.
  • 7[7]Nahum A, Ravenscraft SA, Nakos G, et al. Tracheal gas insufflation during pressure-control ventilation: effect of catheter position, diameter, and flow rate. Am Rev Respir Dis,1992,146(5):1411～1418.
  • 8[8]Belghith M, Fieroe L, Brunet F, et al. Is tracheal gas insufflation an alternative to extrapulmonary gas exchangers in severe ARDS? Chest, 1995,107(5):1416～1419.

同被引文献22

  • 1Webb HH ,Tiemey DF. Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures protection by positive end - expiratory pressure. Am Rev Respir Dis , 1974,110 : 556-565.
  • 2Lim LH, Wagner EM. Airway distension promotes leukocyte recruitment in rat tracheal circulation. Am J Respir Crit Care Med , 2003,168 : 1068-1074.
  • 3Puneet P, Moochhala S, Bhatia M. Chemokines in acute respiratory distress syndrome. Am J Physiol Lung Cell Mol Physiol ,2005,288 :I3- L15.
  • 4Kawano T, Mori S, Cybulsky M, et al. Effect of granulocyte depletion in ventilated surfactant depleted lung. J Appl Physiol ,1987,62:27- 33.
  • 5Matute -Bello G, Liles WC, Radella F, et al. Neutrophil apoptosis in the acute respiratory distress syn - drome. Am J Respir Crit Care Med, 1997,156 : 1969-1977.
  • 6Matute- Bello G. Science review, apoptosis in acute lung injury. Crit Care Med ,2003,7:355-358.
  • 7Gutierrez JA, Ertsey R, Scavo LM, et al. Mechanical distention modulates alveolar epithelial cell pheno - typic expression by transcriptional regulation. Am J Respir Cell Mol Biol ,1999,21:223-229.
  • 8Vlahakis NE,Schroeder MA ,Limper AH , et al. Stretch induces cytokine release by alveolar epithelial ceils in vitro. Am J Physiol Lung Cell Mol Physiol , 1999, 277: L16-L173.
  • 9Severine O, Jerome P. Role of MAP kinase activation in interleukin - 8 production by human BEAS -2B bronchial epithelial ceils submitted to cyclic stretch. Am J Respir Cell Mol Biol,2002 ,27 : 107-114.
  • 10McRitchie DI, Isowa N, Edelson JD,et al. Production of tumor necrosis factor - a from primary cultured rat alveolar epithelial ceils. Cyto-kine, 2000, 12: 644-654.

引证文献1

二级引证文献6

实用医学杂志
2002年 第8期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部