小潮气量通气和肺复张策略治疗小儿急性肺损伤的作用
【摘要】 目的：探讨小潮气量通气和肺复张策略治疗小儿急性肺损伤的作用。方法：将笔者所在医院收治的65例急性肺损伤患儿随机分为两组，对照组30例给予常规机械通气治疗，观察组35例给予小潮气量联合肺复张策略治疗，观察两组血气分析指标。结果：观察组实施小潮气量通气和肺复张策略后24 h后，PaO2、PaO2/FiO2显著升高，PaCO2显著下降，与对照组比较差异有统计学意义（P<0.05）。结论：小潮气量通气和肺复张策略可以显著提高急性肺损伤患儿的肺顺应性和氧合功能，改善症状。
【关键词】 小潮气量通气； 肺复张策略； 急性肺损伤
中图分类号 R563 文献标识码 A 文章编号 1674-6805（2013）22-0023-02
Effect of Small Sidal Volume Ventilation and Recruitment Maneuvers Strategy in the Treatment of Acute Lung Injury/LIANG Wen-bao，CAI Yi-shu.//Chinese and Foreign Medical Research，2013，11（22）：23-24
【Abstract】 Objective：To discuss the effect of Small tidal volume ventilation and recruitment maneuvers strategy in the treatment of acute lung injury.Methods：65 children in our hospital with acute lung injury were selected and divided into two groups.The children in observation groups were given Small tidal volume ventilation and recruitment maneuvers strategy，while the control group was given conventional ventilation.The blood gas indexes were observed in the two groups.Results：After 24 h treatment，PaO2，PaO2/FiO2 raised and PaCO2 significantly dropped in observation groups than control groups，there was significant difference（P<0.05）.Conclusion：Small tidal volume ventilation and recruitment maneuvers strategy can improve the symptom and oxygenation function in child with acute lung injury.
【Key words】 Small tidal volume ventilation； Recruitment maneuvers strategy； Acute lung injury
First-author’s address：Zhongshan Torch Development Zone Hospital，Zhongshan 528437，China
急性肺损伤是呼吸窘迫综合征的早期阶...
|
== 试读已结束，如需继续阅读敬请充值会员 ==
|
|
本站文章均为原创投稿，仅供下载参考，付费用户可查看完整且有格式内容！
(费用标准：38元/2月，98元/2年，微信支付秒开通！) |
| 升级为会员即可查阅全文 。如需要查阅全文，请 免费注册 或 登录会员 |
|
