【正文】 ng)總結(jié),ARDS患者(hu224。)氧合下降,Lasocki S, Lu Q, Sartorius A, Fouillat D, Remerand F, Rouby JJ. Open and Closedcircuit Endotracheal Suctioning in Acute Lung Injury: Efficiency and Effects on Gas Exchange. Anesthesiology 2006。 98: 14328,第二十八頁(yè)，共三十九頁(yè)。ich237。ng)高的壓力仍處于試驗(yàn)階段，且需要在密切監(jiān)測(cè)的條件下謹(jǐn)慎實(shí)施 Fujino et al AJRCCM 1999,第十九頁(yè)，共三十九頁(yè)。,ARDS的肺復(fù)張,CPAP CPAP 30 – 45 cmH2O PCV PC 15 cmH2O PEEP 30 – 45 cmH2O 嘆氣(t224。)通氣導(dǎo)致肺過(guò)度牽張所引起的肺損傷 容積傷(volutrauma),Normal rat lungs,PIP 45, 5 min,PIP 45, 20 mins,第八頁(yè)，共三十九頁(yè)。 69: 82432.,第四頁(yè)，共三十九頁(yè)。,ALI/ARDS的定義(d236。n),GATTINONI 3 ZONES 過(guò)度(gu242。n)時(shí)的剪切力損傷,驅(qū)動(dòng)(qū d242。nj236。,如果判斷(p224。,反復(fù)(fǎnf249。n)并發(fā)癥 立即終止肺復(fù)張操作,第三十頁(yè)，共三十九頁(yè)。ngjī)減少,SWIVELpsv CLOSEDpsv CLOSED SWIVEL DISCONNECTION,Prevention of Endotracheal Suctioninginduced Alveolar Derecruitment in Acute Lung Injury Maggiore SM, Lellouche F, Pigeot J, Taille S, Deye N, Durrmeyer X, Richard JC, Mancebo J, Lemaire F, Brochard L. Am J Respir Crit Care Med 2003。肺復(fù)張前5 – 10分鐘將FiO2提高到1.0。),ARDS患者有效肺容積縮小 肺泡反復(fù)塌陷與開(kāi)放導(dǎo)致剪切力損傷 肺復(fù)張是保護(hù)性通氣策略的重要(zh242。ngjī)的影響,Dyhr T, Bonde J, Larsson A: Lung recruitment maneuvers are effective to regain lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. Crit Care 2003, 7:5562,第三十二頁(yè)，共三十九頁(yè)。)的影響,Bein T, Kuhr LP, Bele S, Ploner F, Keyl C, Taeger K. Lung recruitment maneuver in patients with cerebral injury: effects on