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三种呼吸模式对COPD合并呼吸衰竭周围循环和血气分析的影响 被引量:3

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摘要 目的观察比较A/C、SIMV和PSV三种呼吸模式对周围循环和血气的影响。方法最初采用A/C,逐步更改为SIMV和PSV,三种模式各持续120 min。SIMV指令为A/C的75%,PSV压力设置与A/C呼出潮气量基本相同的水平。每隔15min记录呼吸机参数、心率和血压1次。每隔60 min测CVP、血气分析1次。结果 SIMV和PSV与A/C比较,PIP降低(P<0.05),血压和CVP降低(P<0.05),PaO2和SaO2升高,PH趋于正常。结论 COPD合并呼吸衰竭应用有创机械通气,SIMV和PSV优于A/C。
出处 《临床肺科杂志》 2012年第8期1507-1508,共2页 Journal of Clinical Pulmonary Medicine
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