肺保护性通气策略临床应用进展

被引:14
作者
郑康
郑亚安
机构
[1] 北京大学第三医院急诊科
关键词
肺保护性通气; 机械通气; 急性肺损伤; 急性呼吸窘迫综合征;
D O I
暂无
中图分类号
R563.8 [呼吸衰竭];
学科分类号
100201 [内科学];
摘要
机械通气时采取肺保护性通气策略有利于急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)患者缩短机械通气时间,降低病死率,在临床中已广泛应用。但是对于非ALI/ARDS的患者是否也采取肺保护性通气策略意见并不一致。现综述近年来的研究情况,包括机械通气后氧合指标、细胞因子水平和肺组织结构等方面的变化。目前对于肺保护性通气策略是否有利于避免非ALI/ARDS患者肺损伤的发生,研究结果并不一致,尚无明确结论。
引用
收藏
页码:2816 / 2818
页数:3
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