{"title":"早期气道灌洗治疗重度吸入性损伤","authors":"钟志联, 瞿长春, 张锦钊, 陈志生","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.036","DOIUrl":null,"url":null,"abstract":"目的 通过应用纤支镜进行早期气道灌洗治疗重度吸入性损伤,证实其临床应用的可行性和临床疗效.方法通过21例重度吸入损伤病人应用纤支镜进行早期气道灌洗,观察患者氧合和相关肺力学指标,判断治疗效果.结果早期气道灌洗(伤后3～11h)后,氧合相关指标PaO2有明显增高,PaCO2变化不大;(A-a)DO2和RI明显降低,肺力学相关指标吸气时的△V/△P逐步升高.结论在重度吸入性损伤早期气道灌洗有利于清除残留致伤物质及气道内炎症介质,能改善重度吸入性损伤患者的氧合和顺应性,达到改善呼吸功能的目的。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"51 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"早期气道灌洗治疗重度吸入性损伤\",\"authors\":\"钟志联, 瞿长春, 张锦钊, 陈志生\",\"doi\":\"10.3760/CMA.J.ISSN.1008-634X.2006.02.036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"目的 通过应用纤支镜进行早期气道灌洗治疗重度吸入性损伤,证实其临床应用的可行性和临床疗效.方法通过21例重度吸入损伤病人应用纤支镜进行早期气道灌洗,观察患者氧合和相关肺力学指标,判断治疗效果.结果早期气道灌洗(伤后3～11h)后,氧合相关指标PaO2有明显增高,PaCO2变化不大;(A-a)DO2和RI明显降低,肺力学相关指标吸气时的△V/△P逐步升高.结论在重度吸入性损伤早期气道灌洗有利于清除残留致伤物质及气道内炎症介质,能改善重度吸入性损伤患者的氧合和顺应性,达到改善呼吸功能的目的。\",\"PeriodicalId\":189947,\"journal\":{\"name\":\"Journal of Modern Clinical Medical Bioengineering\",\"volume\":\"51 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2006-04-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Modern Clinical Medical Bioengineering\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.036\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Modern Clinical Medical Bioengineering","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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