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急性呼吸窘迫综合征肺复张策略的研究进展 被引量：11

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摘要 广泛性、小灶性肺不张和肺泡萎陷是急性肺损伤(acute 1ung injury,ALI)/急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)的主要病理改变,也是引起肺容量减少、肺内分流(QS/QT)增加、顺应性下降和顽固性低氧血症的主要原因。机械通气能有效纠正缺氧,减少肺损伤,是治疗ALI/ARDS的重要措施,但也可因正压通气和肺泡反复萎陷/复张产生的剪切力,引起机械通气相关性肺损伤(ventilator-induced lung injury,VILI),包括气压伤、容积伤等。近年ARDS的治疗策略也有了很大变化。目前,肺复张策略(recruitment maneuver,RM)已成为ARDS现代治疗策略中的一个重要内容,其目的在于重新开放那些可复张的萎陷肺泡,纠正肺V/Q比例失衡,改善氧合。
作者 邢莉
机构地区 天津市津南区辛庄镇卫生院
出处 《齐齐哈尔医学院学报》 2010年第15期2451-2453,共3页 Journal of Qiqihar Medical University
关键词 急性呼吸窘迫综合征 肺复张策略 机械通气 呼吸机相关性肺损伤
分类号 R563.8 [医药卫生—呼吸系统]
  • 相关文献

参考文献23

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二级参考文献25

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共引文献101

同被引文献117

引证文献11

二级引证文献53

齐齐哈尔医学院学报
2010年 第15期

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