早期实施气道压力释放通气对急性呼吸窘迫综合征的预防价值

doi:10.3969/j.issn.1000-8535.2017.05.029

摘要/Abstract

摘要： 成人急性呼吸窘迫综合征死亡率居高不下,而当前治疗手段大多以对症支持为主且效果欠佳。通过早期识别ARDS高危患者,及早施加干预措施阻断疾病进展是目前研究的新方向。较之传统机械通气模式,气道压力释放通气因其特有的肺保护作用备受国内外学者关注,APRV下肺泡持续开放并保持稳定可减少肺损伤发生,将APRV应用于ARDS预防理论上前景可观,本文将围绕早期实施APRV对预防ARDS应用价值展开论述。

关键词: 气道压力释放通气, 急性呼吸窘迫综合征, 预防, 肺保护

Abstract: The mortality of adult acute respiratory distress syndrome(ARDS) remains high. Supportive care measures are main treatments to ARDS currently while the effect is poor. Early application of airway pressure release ventilation in patients who are at high risk for ARDS is a new direction of research. Compared with traditional mechanical ventilation, more and more scholars both at home and abroad pay attention to the airway pressure release ventilation APRV because of its unique lung protection. Under APRV the alveoli maintain stable continuously which may reduce the incidence of lung injury. Applying APRV to ARDS prevention is promising theoretically. This paper will focus on the value of preemptive airway pressure ventilation for high-risk ARDS patients.

Key words: Airway pressure release ventilation APRV, Acute respiratory distress syndromeARDS, Prevention, Lung protection

曹俊, 邵劲松, 周立新. 早期实施气道压力释放通气对急性呼吸窘迫综合征的预防价值[J]. 广州医药, 2017, 48(5): 115-119.

CAO Jun, SHAO Jingsong, ZHOU Lixin. The value of early airway pressure ventilation in prevention of ARDS[J]. Guangzhou Medical Journal, 2017, 48(5): 115-119.

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