国际麻醉学与复苏杂志   2016, Issue (4): 0-0
    
几种特殊通气模式在肺保护策略中的研究进展
陈志刚, 李金宝, 吕欣1()
1.上海市肺科医院
Research progress on the application of some nonconventional ventilation modes in lung protection
 全文:
摘要:

背景 随着接受机械通气患者人数的增加,不同病情及肺部情况的患者需要不同的通气设置,甚至个性化的特殊通气模式。 目的 探讨几种特殊通气模式的临床运用及在肺保护方面的作用。 内容 查阅特殊通气模式的相关文献,简介几种特殊通气模式的原理及优缺点,整理相关动物实验及临床运用资料,特别关注在减轻肺损伤方面的作用,为临床机械通气提供更多选择。 趋向 几种较为特殊的通气模式不仅是临床通气策略的补充,更可能是肺保护策略的新组成。

关键词: 特殊通气模式;  肺保护策略
Abstract:

Background Now more patients need ventilation, they have different conditions and stages of their illness included pulmonary heterogeneity, they need individual ventilation settings. Objective Discuss the clinical application of some nonconventional ventilation modes and the effects on lung protection. Content This review collected the related articles about nonconventional ventilation modes, introduced their theory and benefits, drawbacks, analyzed the clinical application especially their roles in alleviating lung injury. There are more choices for long time ventilation patients with those nonconventional ventilation modes. Trend Nonconventional ventilation modes not only have clinical application but also probably new alternatives of lung protective strategy.

Key words: Nonconventional ventilation mode; Lung protective strategy