摘要
单肺通气可以导致低氧血症和急性肺损伤,对非手术侧肺实施持续呼吸道正压通气(CPAP)是单肺通气管理的一种策略。该文总结了CPAP在单肺通气中的应用情况、实施方法,压力选择和吸入氧浓度的选择等;大量研究证实,单肺通气中非通气侧肺使用CPAP可以有效地提高动脉血氧分压,降低低氧血症发生率;少数研究认为,CPAP可以减轻急性肺损伤。
One-lung ventilation can lead to hypoxemia and acute lung injury. The implementation of continuous positive airway pressure （CPAP） on the non-operation side lung,is a strategy for the management of one-lung ventilation. Here is to summarize the application of CPAP during one-lung ventilation ： implemen- tation method,the selection of the pressure and inspired oxygen concentration etc. ;a number of research confirmed that the use of CPAP on non-ventilated lung during one-lung ventilation could effectively improve PaO2 and reduce the incidence of hypoxemia; few research considered that CPAP could reduce acute lung injury.
出处
《医学综述》
2013年第17期3146-3148,共3页
Medical Recapitulate
基金
广西壮族自治区卫生厅自筹经费科研课题(桂卫Z2012318)
关键词
单肺通气
持续呼吸道正压通气
低氧血症
急性肺损伤
One-lung ventilation
Continuous positive airway pressure
Hypoxcmia
Acute lung injury
