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1銆佹皵閬撻珮鍘媓igh airway pressure :
(1)鍘熷洜:鐥呬漢姘旈亾涓嶉�氱晠(鍛煎惛瀵規姉)銆佹皵綆℃彃綆¤繃娣辨彃鍏ュ彸鏀皵姘旂銆佹皵綆″綆℃粦鍏ョ毊涓嬨�佷漢鏈哄鎶椼�佸挸鍡姐�佽偤欏哄簲鎬т綆( ARDS銆佽偤姘磋偪銆佽偤綰ょ淮鍖?銆侀檺鍒舵�ч�氭皵闅滅(鑵硅儉銆佹皵鑳搞�佺旱闅旀皵鑲褲�佽兏鑵旂Н娑?
( 2)澶勭悊:鍚瘖鑲洪儴鍛煎惛闊蟲槸鍚﹀瓨鍦ㄤ笉瀵圭О銆佺棸楦ｉ煶銆佸懠鍚擱煶浣?鍚哥棸;鎷嶈兏鐗囨帓闄ゅ紓甯告儏鍐?媯�鏌ユ皵綆″綆′綅緗?媯�鏌ョ閬撻�氱晠搴?閫傚綋璋冩暣鍛煎惛鏈哄悓姝ユ�?浣跨敤閫掑噺鍛煎惛鏈哄悓姝ユ�?浣跨敤閫掑噺嫻侀�熸嘗褰?鏀圭敤鍘嬫帶妯″紡;浣跨敤鏀皵綆℃墿寮犲墏;浣跨敤闀囬潤鍓傘�?/span>
2銆佹皵閬撲綆鍘婰ow airway pressure :
鍘熷洜:綆￠亾婕忔皵銆佹彃綆℃粦鍑恒�佸懠鍚告満鍙傛暟璁劇疆涓嶅綋
澶勭悊:媯�鏌ユ紡姘旀儏鍐?澧炲姞宄板�兼祦閫熸垨鏀瑰帇鍔涙帶鍒舵ā寮?濡傝嚜涓誨懠鍚稿ソ,鏀筆SV妯″紡;澧?/span>
鍔犳疆姘旈噺;閫傚綋璋冩暣鎶ヨ璁劇疆銆?/span>
3銆佸尰鐢ㄥ懠鍚告満浣庢疆姘旈噺Low tidal volume (閫氭皵涓嶈凍) :
(1)鍘熷洜
*浣庡惛姘旀疆姘旈噺:娼皵閲忚緗繃浣庛�佹姤璀﹁緗繃楂樸�佽嚜涓誨懠鍚告ā寮忎笅鐥呬漢鍚告皵鍔涢噺杈冨急銆佹ā寮忚緗笉褰撱�佹皵閲忎紶鎰熷櫒鏁呴殰銆?/span>
*浣庡懠姘旀疆姘旈噺:綆￠亾婕忔皵銆佸叾浣欏悓涓娿�?/span>
( 2)澶勭悊:媯�鏌ョ璺互鏄庣‘鏄惁婕忔皵;濡傜梾浜哄惛姘斿姩涓嶈凍鍙鍔燩SV鍘嬪姏鎴栨敼A/C妯″紡;鏍規嵁鐥呬漢浣撻噸璁劇疆鍚堥�傜殑鎶ヨ鑼冨洿;鐢ㄦā鎷熻偤媯�鏌ュ懠鍚告満閫佹皵鎯呭喌;鐢ㄦ疆姘旇〃鐩戞祴閫佹皵娼皵閲忎互鍒ゆ柇鍛煎惛鏈烘疆姘旈噺浼犳劅鍣ㄦ槸鍚﹀噯紜�?/span>
4銆佷綆鍒嗛挓閫氭皵鏄烲ow minute volume (閫氭皵涓嶈凍)
(1)鍘熷洜:娼皵閲忚緗繃浣庛�侀�氭皵棰戠巼璁劇疆榪囦綆銆佹姤璀﹁緗繃楂樸�佽嚜涓誨懠鍚告ā寮忎笅鐥呬漢閫氭皵涓嶈凍銆佺閬撴紡姘斻�?/span>
(2)澶勭悊:鎺掗櫎綆￠亾婕忔皵;澧炲姞杈呭姪閫氭皵鍙傛暟;濡傝嚜涓誨懠鍚擱鐜囦笉蹇彲鐢∕MV妯″紡騫惰緗悎閫傜殑姣忓垎閽熼�氭皵閲?閫傚綋璋冩暣鎶ヨ鑼冨洿銆?/span>
5銆侀珮鍒嗛挓閫氭皵閲廐igh minute volume (榪囧害閫氭皵)
(1)鍘熷洜:鐥呬漢绱у紶鐑﹁簛銆佹湁涓ラ噸緙烘哀鐘跺喌銆佸懠鍚告満閫氭皵鍙傛暟璁劇疆榪囬珮銆佸懠鍚告満璇Е鍙戝鑷撮珮閫氭皵棰戠巼銆?/span>
( 2 )澶勭悊:鎺掗櫎鏈哄櫒鍘熷洜鍙嬌鐢ㄩ晣闈欏墏鐢氳嚦鑲屾澗鍓備互闃叉鐥呬漢鐨勮繃搴﹂�氭皵;鏀瑰杽鐥呬漢鐨勬哀鍚?鍙鍔犳哀嫻撳害鎴栧姞鐢≒EEP ;鍚堢悊璋冩暣閫氭皵鍙傛暟;濡傛湁璇Е鍙戝彲闄嶄綆瑙﹀彂鐏墊晱搴?鍏抽棴嫻侀�熻Е鍙?媯�鏌ュ懠姘旈榾鏄惁婕忔皵銆?/span>
6銆佸懠鍚稿弽姣攊nverse I:E( 1)鍘熷洜:鍚告皵鏃墮棿榪囬暱(閫佹皵嫻侀�熻繃浣庛�佹疆姘旈噺榪囧ぇ銆佹皵閬撻樆鍔涢珮) ,鍛兼皵鏃墮棿榪囩煭,鍛煎惛棰戠巼榪囬珮銆? 2 )澧炲姞鍚告皵嫻侀�?鍑忓皯鍘嬫帶妯″紡鐨勫惛姘旀椂闂?鏀瑰杽姘旈亾鐨勯�氱晠搴?闄嶄綆鍛煎惛棰戠巼;濡傞渶瑕佸弽姣旈�氭皵鍙叧闂弽姣旈�氭皵鎶ヨ銆?/span>
7銆佺獟鎭?/span>
(1)鍘熷洜:鐥呬漢鑷富鍛煎惛榪囧急銆佺梾浜哄嚭鐜板懠鍚告殏鍋溿�佹皵閬撴紡姘斻�?/span>
(2)澶勭悊:鎻愰珮瑙﹀彂鐏墊晱搴?澧炲姞閫氭皵棰戠巼;鏀笰/C鎴朣IMV妯″紡;媯�鏌ユ皵閬撴紡姘旀儏鍐點�?/span>
8銆佸尰鐢ㄥ懠鍚告満宸ヤ綔寮傚父
澶勭悊:绔嬪嵆鑴辯鐥呬漢,鏀圭敤鍛煎惛鐨泭榪囨浮;鐢ㄦā鑲烘鏌ュ懠鍚告満閫佹皵鎯呭喌,鍙叧闂満鍣ㄥ啀鎵撳紑,瑙傚療鏁呴殰鏄惁渚濈劧瀛樺湪;鍙仛鏈哄櫒鑷浠ュ垽鏂晠闅滃師鍥?鍘熷垯涓婂彲鑳芥湁鏁呴殰鐨勫懠鍚告満涓嶈兘緇欑梾浜轟嬌鐢?閫氱煡緇翠慨_宸ョ▼甯堛�?/span>
鐩稿叧浜у搧