急性呼吸窘迫综合征患儿的右心保护通气策略

Right heart protective ventilation strategy in children with acute respiratory distress syndrome

急性呼吸窘迫综合征可致肺血管功能障碍,使右心室后负荷增加,导致右心室衰竭,也被称为急性肺源性心脏病。维持氧合和通气的机械通气对右心室功能产生负面影响,可能出现肺与右心室相互作用,加剧右心室衰竭恶化,可能是右心衰的原因之一。因此,在ARDS机械通气治疗中必须高度注意患者右心功能情况。

Acute respiratory distress syndrome (ARDS) can cause pulmonary vascular dysfunction, increase right ventricular afterload and lead to right ventricular failure, also known as acute cor pulmonale.Mechanical ventilation to maintain oxygenation and ventilation has a negative impact on right ventricular function, which may lead to lung-right ventricular interaction and aggravate the deterioration of right ventricular failure, which may be one of the causes of right ventricular failure.Therefore, in the treatment of mechanical ventilation for ARDS, attention must be paid to the right ventricular function of patients.