摘要
应用小潮气量通气致容许性高碳酸血症方法对11例急性呼吸窘迫综合征（ARDS）进行临床观察。设定潮气量为6．4±1．1ml／kg，保持动脉血二氧化碳（PaCQ2）为5．97±1．41kPa，血氧分压8．54±3．19kPa。结果7例存活，未发现气压伤。说明小潮气量通气致一定程度高碳酸血症是临床上值得推荐使用的方法。
Evaluation of lower tidal volume ventilation on acute respiratory distress syndrome(ARDS). Method tow-er tidal volume (Vt = 6. 4 t 1. 1ml/kg) was used to reduce further lung injury, high ailxvay pressure and barotraumawhich allowed certain high leve1 of respiratory acidosis called permissive hypercapnia. During whole period of mechanicalventilation, the oxygen tension in arterial (PaO2 ) kept at 8' 5 1 3. 19kPa(1 kPa = 7. 5mmHg) while arterial pressure ofcarben dioxide at 5. 82 ± 1. 04kPa. Result Seven of eleven survived, no lung barotrauma was observed. Conclusion:hawer tidal volume ventilation caused certain level of perdrissive hypercapnia was sde and worthwhile to be considered intreatment of ARDS.
出处
《苏州医学院学报》
1999年第6期653-654,共2页
Acta Academiae Medicinae Suzhou
基金
江苏省卫生厅资助!H9521
关键词
呼吸窘迫综合征
机械通气
小潮气量
respiraton distress syndrome
acute
lower tidal volume
mechanical ventilation
hypercapnia
