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|本期目录/Table of Contents|

肺复张对重症患者血流动力学的影响

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2017年第6期
页码:
735-739
栏目:
综述
出版日期:
2017-06-01

文章信息/Info

Title:
Hemodynamic effects of lung recruitment maneuvers in critically ill patients
作者:
王助衡; 孙立平; 周冠华; 郭清华
（首都医科大学大兴医院重症医学科，北京 102600）
Author(s):
WANG Zhu-heng;  SUN Li-ping;  ZHOU Guan-hua;  GUO Qing-hua
(Department of Critical Care Medicine, Daxing Teaching Hospital, Capital Medical University, Beijing 102600, China)
关键词:
肺复张; 血流动力学; 重症患者; 跨肺压; 急性呼吸窘迫综合征
Keywords:
recruitment manoeuvres;  hemodynamics;  critically ill patient;  transpulmonary pressure;  acute respiratory distress syndrome
分类号:
R576
DOI:
-
文献标识码:
A
摘要:
各种原因引起的肺不张常常导致肺内分流增加、静脉血氧合不充分最终出现低氧血症甚至呼吸衰竭。肺复张的目的就是通过迅速短暂的增加气道压力来打开塌陷的肺泡。虽然肺复张可以改善氧合，但由于心肺以及心脏的左、右心室间的相互作用，可能造成胸内压力升高从而对心血管系统产生严重的影响。这篇综述的目的就是总结肺复张过程中心肺间的病理生理特征并探讨在肺复张过程中如何更好地监测这些特征的变化，从而在临床工作中更好地使用肺复张。
Abstract:
Atelectasis leads to increased intrapulmonary shunt, venous admixture and hypoxaemia. Lung recruitment maneuvers aim to quickly reverse this scenario by applying increased airway pressures for a short period of time, which means to open the collapsed alveoli. Although the procedure can improve oxygenation, elevated intrathoracic pressures can inflict serious effects on the cardiovascular system due to the heart-lung and right and left ventricle interactions. The purpose of this article is to give an overview on the pathophysiological background of the heart-lung interactions and the best way to monitor these changes during lung recruitment.

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备注/Memo

备注/Memo:
收稿日期：2016-07-04.
通讯作者：郭清华，副主任医师，主要从事重症患者血流动力学研究 Email：qinghuaicu@sina.com
作者简介：王助衡，副主任医师，博士 Email：1147070617@qq.com
更新日期/Last Update: 2017-06-06