[1]熊 翅,刘丽娜,刘志锋.腹腔内高压对重症患者呼吸功能的影响及机械通气策略研究进展[J].新乡医学院学报,2021,38(11):1075-1078.[doi:10.7683/xxyxyxb.2021.11.015]
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腹腔内高压对重症患者呼吸功能的影响及机械通气策略研究进展
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年11
页码:
1075-1078
栏目:
综述
出版日期:
2021-11-05

文章信息/Info

作者:
熊 翅1刘丽娜2刘志锋3
(1.南部战区总医院健康医学科,广东 广州 510010;2.南部战区总医院重症医学科内科病区,广东 广州 510010;3.南部战区总医院重症医学科,广东 广州 510010)
关键词:
腹腔内高压危重症呼吸功能机械通气
分类号:
R459.7
DOI:
10.7683/xxyxyxb.2021.11.015
文献标志码:
A
摘要:
腹腔内高压在重症患者中具有较高发病率,其可导致循环、呼吸、肾脏、胃肠道及中枢神经系统等多脏器损伤,是重症患者预后不良的重要危险因素。腹腔内高压通过膈肌将压力传导至胸腔,升高胸腔压力,导致肺实质被压缩,肺容积减少,肺泡膨胀不全,肺毛细血管氧输送减少,肺血管阻力增加,出现以高呼吸道阻力、低氧血症及高碳酸血症为主要表现的呼吸功能障碍。对于腹腔内高压合并急性呼吸窘迫综合征的患者,保护性肺通气可降低肺部炎症反应,减少肺部相关并发症。本文就腹腔内高压对重症患者呼吸功能的影响及腹腔内高压患者机械通气的管理策略研究进展进行综述。

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更新日期/Last Update: 2021-11-05