[单侧或不对称肺部疾病的处理(作者简介)]。

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
J Bons, J F Dhainaut, B Lesgourgues, B Schlemmer, A Carli, J F Monsallier
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引用次数: 0

摘要

为了确定单侧肺病患者体位、持续气道正压通气和独立肺通气的适应症,我们将10例单侧肺病患者从仰卧位转为侧卧位。所有患者均戴口罩自主呼吸,5例患者持续气道加压(10 cm H2O PEEP)。在这些自发通气方法中,血流动力学参数没有改变,但动脉血氧张力升高,肺内分流明显减少。7例最终康复。在其他3例中,由于自发呼吸方法对改善血气无效,需要机械通气。侧卧位和常规气道正压通气也无效。仅独立通气可提高动脉血氧浓度。但只有一个病人活了下来。我们的结论是,自主呼吸方法能够提供成功的治疗大多数单侧肺部疾病的患者。在其他患者中,仅独立肺通气有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Management of unilateral or asymmetrical lung disease (author's transl)].

To determine the indications of body position, continuous positive airway pressure and independent lung ventilation in unilateral lung disease, we turned 10 patients with overwhelming unilateral lung disease from supine to lateral position. All patients were breathing spontaneously with a mask, then associated with continuous airway pressure (10 cm H2O PEEP) in five cases. During these spontaneous ventilation methods, hemodynamic parameters did not change, but arterial blood oxygen tension increased and intra-pulmonary shunting decreased significantly. Final recovery was obtained in 7 cases. In the 3 others, mechanical ventilation was needed because spontaneous breathing methods were ineffective in improving blood gases. Lateral position and conventional ventilation with positive airway pressure were also ineffective. Only independent ventilation enhanced arterial blood oxygen tension. But only one patient survived. We conclude that spontaneous breathing methods are able to provide successful treatment in most of patients with unilateral lung disease. In other patients, only independent lung ventilation is effective.

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