生理死腔负荷试验在识别短期机械通气COPD脱机失败患者的应用
摘要
慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)所致的严重急性呼吸衰竭是常见的危重症,大多数患者需要进行有创机械通气。由于COPD患者的病理生理特点,如何成功脱机拔管,成为广大临床医生关注的问题。目前预测拔管成功率的方法繁多,
出处
《中国急救复苏与灾害医学杂志》
2013年第3期277-278,共2页
China Journal of Emergency Resuscitation and Disaster Medicine
参考文献6
-
1慢性阻塞性肺疾病急性加重患者机械通气指南(2007)[J].中华急诊医学杂志,2007,16(4):350-357. 被引量:250
-
2Qaseem A,Snow V,Shekelle,et al.Diaguosis and management of stable chronic obstructive pulmonary disease:a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine ,2007, 147(9): 633-638.
-
3Hemandez G, Fernandez R,Luzon E, eta. The early phase Of the minute ventilation recovery curve predicts extubation Failure bettor than the minute ventilation recovery time.Chest,2007,131:1315-1322.
-
4石志红,杨岚,尚立群,尚东,李洋,陈小燕,李飞燕.自主呼吸试验指导慢性阻塞性肺疾病急性加重期有创机械通气撤离价值的初步评价[J].武汉大学学报(医学版),2011,32(3):362-364. 被引量:6
-
5卢年芳,郑瑞强,林华,陈齐红,於江泉,邵俊.适应性支持通气模式在心脏手术后患者脱机中的应用效果[J].中国急救复苏与灾害医学杂志,2011,6(3):205-209. 被引量:3
-
6Jose F Solsona,Yolanda Diaz,Antonia Vazquez,etal. A pilot study of a new test to predict extubation failure,Critical Care.2009,13(2): 56.
二级参考文献17
-
1Boutou AK, Abatzidou F, Tryfon S,et al. Diagnostic accuracy of the rapid shallow breathing index to predict a successful spontaneous breathing trial outcome in mechanically ventilated patients with chronic obstructive pulmonary disease[J]. Heart Lung, 2011, 40(2):105-110.
-
2Matic I, Danic D, Majeric-Kogler V, et al. Chronic ob- structive pulmonary disease and weaning of difficult-to- wean patients from mechanical ventilation: randomized prospective study[J]. Croat Med J, 2007,48 (1) : 51-58.
-
3Hess D. Ventilator modes used in weaning[J]. Chest, 2001,120 : 474S-476S3.
-
4Molina-Saldarriaga FJ, Fonseea-Ruiz N J, Cuesta-Castro DP, et al. Spontaneous breathing trial in chronic obstructive pulmonary disease: continuous positive airway pressure (CPAP) versus T-piece[J]. Med Intensiva, 2010, 34(7):453-458.
-
5Epstein SK, Durbin CG Jr. Should a patient be extubated and placed on noninvasive ventilation after failing a spontaneous breathing trial? [J]. Respir Care, 2010, 55(2):198-206.
-
6Trevisan CE, Vieira SR. Research Group in Mechanical Ventilation Weaning. Noninvasive mechanical ventilation may be useful in treating patients who fail weaning from invasive mechanical ventilatio:, a randomized clinical trial[J]. Crit Care, 2008, 12(2) :RS1.
-
7Global Strategy for Diagnosis, Management, and Prevention of COPD. December, 2009. http://www. goldcopd.org.
-
8Hess D. ventilator modes used in weaning. Chest,2001,120(6Suppl):474S-476S.
-
9Sulzer CF, Chiol6ro R, Chassot PG, et al. Adaptive support ventilation for faat tracheal cxtubation after cardiac surgery. A randomized controlled study. Anesthesiology. 2001,95(6): 1339-1345.
-
10Petter AH, Chiolero RL, Cassina T, et al. Automatic "respirator/weaning" with adaptive support ventilation: the effect on duration of endotracheal intubation and patient management. Anesth Analg,2003,97(6):1743-1750.
共引文献256
-
1顾斌.无创呼吸机治疗56例老年AECOPD合并呼吸衰竭疗效观察[J].医学信息(医学与计算机应用),2014,0(1):75-76. 被引量:1
-
2张善涛.慢性阻塞性肺疾病急性加重期呼吸衰竭无创呼吸机治疗效果观察[J].医学信息(医学与计算机应用),2014,0(7):438-439. 被引量:2
-
3卓慧,李叔国,李再芬.慢性阻塞性肺疾病患者撤机困难的相关因素分析[J].求医问药(下半月),2013(4):85-86. 被引量:1
-
4黄国华,陈正贤.急性肺损伤和急性呼吸窘迫综合征的诊治思维程序[J].中国实用内科杂志,2007,27(18):1480-1482. 被引量:3
-
5王长远,秦俭.无创正压通气的临床应用及其进展[J].中国误诊学杂志,2008,8(1):21-23. 被引量:23
-
6郑国寿,白祥军,唐朝晖.多发伤患者死亡危险因素分析[J].中华创伤杂志,2008,24(2):100-102. 被引量:21
-
7李楠,张彧.早期应用小剂量甲基泼尼松龙救治ARDS合并感染性休克患者的临床分析[J].疑难病杂志,2008,7(3):149-151. 被引量:5
-
8阎锡新,丁立君.无创正压通气在慢性阻塞性肺病急性加重期的应用进展[J].临床荟萃,2008,23(7):525-527. 被引量:10
-
9李楠,张彧,高冬娜,李锐.中性粒细胞弹性蛋白酶与急性肺损伤/急性呼吸窘迫综合征严重程度及预后相关性的临床研究[J].中国医师进修杂志(内科版),2008,31(4):41-43. 被引量:2
-
10戴冰冰,徐健,刘春芳,庚俐莉,郭丽雅,王承敏,刘梅.早期应用无创通气治疗慢性阻塞性肺疾病急性加重疗效观察[J].中国呼吸与危重监护杂志,2008,7(2):140-141. 被引量:7
-
1乔惠萍,胡文能,任宝中.呼吸机相关性肺炎119例病原菌及耐药性分析[J].陕西医学杂志,2012,41(2):243-244. 被引量:1
-
2黄高,李军,黄忠仕,吴晓文,尧国胜,陆亿.呼吸衰竭患者发生急性肾损伤危险因素研究[J].右江民族医学院学报,2016,38(2):160-161.
-
3周平,董芸,常莉,王建东,李依,李俊英,冯璇璘,邓磊,郑君.监测血浆脑钠肽对机械通气患者脱机失败的预测作用[J].实用医院临床杂志,2013,10(5):69-71. 被引量:7
-
4颜碧清,楼天正,张宁.机械通气患者低磷血症的临床意义[J].现代中西医结合杂志,2005,14(13):1733-1733. 被引量:2
-
5武猛,王燊,白琳,王嘉佳.腹内高压对慢阻肺呼衰患者脱呼吸机失败的影响[J].海南医学,2012,23(23):57-58.
-
6郑翠霞,徐凤珍,王爱华.慢性阻塞性肺病患者运动中生理死腔与潮气量比值变化[J].蚌埠医学院学报,1999,24(6):391-393. 被引量:1
-
7张凌,付平.ARDS合并AKI的诊治进展[J].中国血液净化,2010,9(3):117-119. 被引量:4
-
8崔德健.急性呼吸窘迫综合征的发病机制及治疗进展[J].中国实用外科杂志,2002,22(11):701-704. 被引量:13
-
9王碧炯,方强.血浆NT—proBNP对老年肺心病合并呼吸困难患者脱机拔管预后的预测价值[J].中国急救医学,2011,31(4):303-306. 被引量:10
-
10代宇,杨许莲,谢辉,李全有.SBT前后血浆BNP变化对危重患者脱机结果的预测效果[J].检验医学与临床,2017,14(6):882-885. 被引量:2