[通气力学研究——在人工通气中的应用[作者简介]]。

A Harf, F Lemaire, H Lorino, G Atlan
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引用次数: 0

摘要

通风力学的研究意味着收集输入变量(由压力估计的应力)和输出变量(应变),从中可以计算出再现功能系统的模型的参数(顺应性,阻力等)。从这个角度来看,人工通气患者表现出双重困难:一是变量的收集,考虑到患者的不稳定状态,非常困难;二是模型的类型:由于缺乏更好的解决方案,一阶线性模型的使用一方面会受到批评,因为这些患者肺部变化严重,另一方面会受到人工通气过程中施加约束的特殊模式的批评。所有这些事实都解释了复苏中通气力学分析在方法和理论上遇到的困难,这实际上导致了一个参数的表达作为肺实质弹性的代表:静态顺应性,以及系统平衡点的确定:功能剩余容量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Study of ventilatory mechanics - its application to artificial ventilation (author's transl)].

Study of ventilatory mechanics implies collection of input variables (stresses estimated by pressures) and output variables (strains), from which the parameters (compliance, resistance, etc.) of a model reproducing the functioning system can be computed. From this point of view, patients under artificial ventilation show a twofold difficulty: the one is the collection of variables, very difficult in consideration of the patients' precarious state, the other the type of the model: the first order linear model, used for lack of better solution, can be criticized, on the one hand by severe pulmonary changes in these patients, and by the special mode of applying constraints during artificial ventilation on the other. All these facts explain the methodologic and theoretical difficulties encountered in ventilatory mechanics analysis in resuscitation, which actually leads to the expression of one parameter as representative of the pulmonary parenchymal elasticity: the static compliance, and to the determination of the balancing point of the system: the functional residual capacity.

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