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非依赖肺通气应用现状及进展

Current research status and prospects of independent lung ventilation
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摘要 单肺通气(one-lung ventilation,OLV)是把双刃剑,在便于手术操作的同时又会造成通气/血流比例(ventilation-perfusion ratio,V/Q)失调和不同程度肺损伤。文章从OLV所导致V/Q失调和肺损伤的病理生理基础角度出发,重点探讨了肺隔离过程中实施非依赖肺适度通气的益处。通过综述相关文献,分别阐述了非依赖肺通气(independent lung ventilation,ILV)的理论基础、实施意义和相关临床应用,同时介绍了基于潮气量分流并共用呼吸回路的ILV方法。这种方法相对较为简便易行,在实施保护性肺隔离通气方面具有一定的优势和应用前景。 One-lung ventilation(OLV)is a"double-edged sword",which causes imbalanced ventilation-perfusion ratio(V/Q)and may result in lung injury to different extent.This review mainly discusses the benefits of moderate independent lung ventilation(ILV)during lung isolation,from the point of view of the pathophysiological basis of V/Q imbalance and lung injury caused by OLV.Based on relevant literature,the theoretical basis,rationale of implementation and clinical application of ILV were discussed.In addition,the method of ILV based on dividing of tidal volume and sharing of single respiratory circuit was introduced.This method is relatively simple,easy-to-use and with some advantages and application prospects in the implementation of protective lung isolation ventilation.
作者 施伶俐 袁开明 齐良 杨云 连庆泉 Shi Lingli;Yuan Kaiming;Qi Liang;Yang Yun;Lian Qingquan(Department of Anesthesiology and Perioperative Medicine,the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Anesthesiology,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)
出处 《国际麻醉学与复苏杂志》 CAS 2020年第8期808-812,共5页 International Journal of Anesthesiology and Resuscitation
关键词 单肺通气 肺损伤 非依赖肺通气 One-lung ventilation Lung injury Independent lung ventilation
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  • 1黄玉霜,倪建武.第三代喉罩全麻在颈前路颈椎手术中的应用[J].实用医学杂志,2005,21(8):819-820. 被引量:17
  • 2周乃康,张涛,梁朝阳,田晓东,柳曦.纵隔肿瘤与囊肿的诊断及外科治疗[J].中华医学杂志,2007,87(11):757-759. 被引量:5
  • 3Webb HH, Tierney 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(5): 556-565.
  • 4Slutsky AS. Ventilator - induced lung injury: From barotrauma to biotranma. Res Care, 2005, 50(5): 646-659.
  • 5Sandur S, Stoller JK. Pulmonary complications of mechanical ventilation. Clin Chest Med, 1999, 20(2): 223-247.
  • 6Gama de AM, Heintz M, Heller A, et al. One-lung ventilation with high tidal volumes and zero positive end-expiratory pressure is injurious in the isolated rabbit lung model. Anesth Analg, 2003, 96( 1 ) : 220-228.
  • 7Dreyfuss D, Martin L, Saumon G. Hyperinflation-induced lung injury during alveolar flooding in rats: effect of perfluorocarbon instillation. Am J Respir Crit Care Med, 1999, 159(6): 1752- 1757.
  • 8Maeda T, Sakabe T, Sunaga A, et al. Conversion of mechanical force into TGF-B-mediated biochemical signals. Curr Biol, 2011, 21 (11): 933-941.
  • 9Chroneos ZC, Sever-Chroneos Z, Shepherd VL. Pulmonary surfaetant: an immunological perspective. Cell Physiol Biochem, 2010, 25 (1): 13-26.
  • 10Raghavendran K, Willson D, Notter RH. Surfactant therapy for acute lung injury and acute respiratory distress syndrome. Crit Care Clin, 2011, 27(3): 525-529.

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