中国医药科学Issue(7)：16-18,46,4.
早期俯卧位通气在主动脉夹层术后低氧血症患者中的应用
The application of early prone ventilation in postoperative hypoxemia patients with aortic dissection
张宪芬 1高文根 1孟海英 1宋丹 1陶欢欢 1张殿宝1
作者信息
- 1. 河南科技大学第一附属医院心血管外科，河南洛阳471003
- 折叠
摘要
Abstract
Objective To study the influence of early prone ventilation on severe hypoxemia (PaO2/FiO2<100) patient's respiratory and hemodynamic parameters after Stanford Type A aortic dissection operation.MethodsTo apply early prone ventilation in 9 postoperative hypoxemia patients with Stanford Type A aortic dissection and then compare the changes of respiratory and hemodynamic parameters in four time points.Results The patients' oxygen partial pressure (PaO2), oxygen index (OI) and static lung compliance (Clst) 30 minutes (T2), 2 hours (T3) and 1 hour after prone ventilation (T4) increased significantly comapared with those before the implementation (T1); while the respiratory index (RI) decreased significantly (P<0.05). The PaO2 after 1 h (T4) was significantly lower than that after 30 min (T2) and 2h (T3) (P<0.05). The systolic blood pressure (SAP) after 30 min (T2) increased significantly while the heart rate (HR) and the central venous pressure (CVP) showed no statistically significant differences. ConclusionThe early implementation of prone ventilation can improve the postoperative hypoxemia in patients with aortic dissection oxygenation and had no adverse effect on hemodynamics.关键词
主动脉夹层/低氧血症/氧合指数/俯卧位通气/肺静态顺应性Key words
Aortic dissection/Hypoxemia/Oxygenation index/Prone Ventilation/Static lung compliance分类
医药卫生引用本文复制引用
张宪芬,高文根,孟海英,宋丹,陶欢欢,张殿宝..早期俯卧位通气在主动脉夹层术后低氧血症患者中的应用[J].中国医药科学,2015,(7):16-18,46,4.
