摘要
Abstract
Objective:To study clinical effectiveness of sustained inflation (SI)on extrapulmonary acute respiratory disstress syndrome(ARDS).Methods:Twenty-four patients with extrapulmonary ARDS were included from January 2011 to September 2012 .Patients were randomly divided into control group (n=10)and SI group (n=14).Both groups were given lung protec-tive ventilation (LPV),and SI (45 cmH2 O,20 s)was conducted for alveolar recruitment in SI group.Heart rate (HR),mean arterial pressure (MAP),transcutaneous oxygen saturation (SpO2 ),PaO2/FiO2 ,mechanical ventilation time,ICU hospitaliza-tion time were compared between the two groups.Results:SpO2 ,PaO2/FiO2 were increased significantly at 2 h after applying SI in SI group (P <0.05),while there were no significant differences in HR,MAP,mechanical ventilation time,ICU hospitali-zation time between the two groups (P >0.05).No other serious complications were observed.Conclusions:SI can effectively improve oxygenation in patients with extrapulmonary ARDS.It is safe and effective to hemodynamics alveolar recruitment.关键词
肺外型急性呼吸窘迫综合征/控制性肺膨胀/肺复张Key words
Extrapulmonary acute respiratory disstress syndrome/Sustained inflation/Alveolar recruitment分类
医药卫生