昆明医学院学报2011，Vol.32Issue(12)：73-76,85,5.
短暂高水平呼气末正压肺复张对ARDS患者氧合和血液动力学的影响
Effect of Short-term High-level PEEP on Oxygen Metabolism and Hemodynamics in Patients with ALI/ARDS
摘要
Abstract
Objective To study the effect of short-term high-level PEEP on oxygen metabolism and hemodynamics in patients with acute respiratory distress syndrome. Methods 40 cases with ALI/SRDS were randomly divided into study group (pressure control ventilation and short-term high-level PEEP, 22 cases) and control group (pressure control ventilation only, 18 cases). The changes of oxygenation, hemodynamics and prognosis of patients were compared between the two groups. Result After short-term high-level PEEP, there was a significant improving in PaO2, PaO2/FiO2 (P<0.05) in the study group, but there was no significant difference in the the side effects and prognosis of patients. Conclusion Short-term high-level PEEP is effective and safe for patients with ALI/ARDS.关键词
呼气末正压通气/肺保护性通气策略/急性肺损伤/急性呼吸窘迫综合征Key words
Positive end expiratory pressure mechanical ventilation/ Lung protective ventilation strategy/ Acute lung injury/ Acute respiratory distress syndrome分类
医药卫生引用本文复制引用
刘荣,陈朝明,赵祝芬,王睿,钱传云..短暂高水平呼气末正压肺复张对ARDS患者氧合和血液动力学的影响[J].昆明医学院学报,2011,32(12):73-76,85,5.基金项目
云南省自然科学基金昆明医学院第一附属医院院内资助项目(2007YN16) （2007YN16）
云南省教育厅基金资助项目(06Y209C) （06Y209C）
