持续正压通气反应异常。

G A Raimondi, A C Rainmondi, M L Marchissio
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引用次数: 3

摘要

1例吸入性肺炎急性呼吸衰竭患者,持续正压通气时PaO2降低,Qs/Qt升高。这一矛盾的发现归因于通风良好的上肺泡血管塌陷,这与血流重新分布到低通气-灌注关系的依赖低通气区域有关。
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Unusual response to continuous positive pressure ventilation.

In a patient with acute respiratory failure due to aspiration pneumonia, PaO2 decrease and Qs/Qt increase were observed during continuous positive pressure ventilation. This paradoxical finding was attributted to vascular collapse in well ventilated upper alveoli associated with blood flow redistribution to dependent hypoventilated areas with low ventilation-perfusion relationships.

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