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中华重症医学电子杂志 ›› 2019, Vol. 05 ›› Issue (02) : 99 -103. doi: 10.3877/cma.j.issn.2096-1537.2019.02.004

所属专题: 重症医学 文献

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急性呼吸窘迫综合征机械通气中的自主呼吸:兴利除弊
李文哲1, 李建1, 于湘友1,()   
  1. 1. 830054 乌鲁木齐,新疆医科大学第一附属医院重症医学科
  • 收稿日期:2019-04-28 出版日期:2019-05-28
  • 通信作者: 于湘友
  • 基金资助:
    新疆维吾尔自治区高校科研计划项目(XJEDU2018I011)

Acute respiratory distress syndrome: how to benefit from spontaneous breathing during mechanical ventilation

Wenzhe Li1, Jian Li1, Xiangyou Yu1,()   

  1. 1. Department of Critical Care Medicine, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2019-04-28 Published:2019-05-28
  • Corresponding author: Xiangyou Yu
  • About author:
    Corresponding author: Yu Xiangyou, Email:
引用本文:

李文哲, 李建, 于湘友. 急性呼吸窘迫综合征机械通气中的自主呼吸:兴利除弊[J/OL]. 中华重症医学电子杂志, 2019, 05(02): 99-103.

Wenzhe Li, Jian Li, Xiangyou Yu. Acute respiratory distress syndrome: how to benefit from spontaneous breathing during mechanical ventilation[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 05(02): 99-103.

急性呼吸窘迫综合征(ARDS)是重症医学科(ICU)常见危重症。尽管人们不断地探索其诊疗方法,但病死率仍高达40%。肺保护性通气策略指导的机械通气仍是ARDS治疗的基石。ARDS患者接受机械通气时保留适度的自主呼吸有助于塌陷肺泡的复张、改善氧合、预防膈肌功能障碍等。联合有效的监测技术,设置恰当的机械通气模式及参数等措施使患者保持耐受性良好的自主呼吸状态,预防患者自身诱发性肺损伤(P-SILI),可能是肺保护性通气策略的又一重要组成部分。

Acute respiratory distress syndrome (ARDS) is a common critical illness in the intensive care unit (ICU). Although many studies have been performed to explore the diagnostic and therapeutic methods for ARDS, its mortality rate is still as high as 40%. Mechanical ventilation guided by the lung protective strategy is still the cornerstone of ARDS treatment. Maintaining moderate spontaneous breathing during mechanical ventilation in ARDS patients is helpful to lung recruitment, oxygenation improvement, diaphragm dysfunction prevention and so on. By combining with effective monitoring techniques, setting appropriate mechanical ventilation modes and parameters to assist patients in maintaining well-tolerated spontaneous effort and prevent patient-self inflicted lung injury (P-SILI) may be important for the lung protective strategy.

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