高频振荡通气治疗严重急性呼吸窘迫综合征(ARDS) 1例报告。

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL International Medical Journal Malaysia Pub Date : 2020-11-17 DOI:10.31436/IMJM.V9I1.742

Azrina, M. Basri, M. A. Hadi, M. Fahmi, O. Ariff, MY Asmarawati

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引用次数: 0

摘要

高频振荡通气(HFOV)为严重急性呼吸窘迫综合征(ARDS)难治性低氧血症患者提供了一种抢救治疗方法。HFOV利用高平均气道压力在高频率下维持肺开放和低潮气量，允许充分的通气，同时防止肺泡过度膨胀。这似乎是一种理想的肺保护性通气策略，以防止呼吸机诱导的肺损伤(VILI)2。我们报告了一例严重的肺外ARDS继发于急性淋巴细胞白血病，对HFOV的使用有反应。

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High Frequency Oscillating Ventilation (HFOV) in Severe Acute Respiratory Distress Syndrome (ARDS): A Case Report.

High frequency oscillating ventilation (HFOV) provides a rescue therapy for patients with refractory hypoxaemia in severe acute respiratory distress syndrome (ARDS). HFOV utilizes high mean airway pressures to maintain an open lung and low tidal volumes at a high frequency that allows for adequate ventilation while at the same time preventing alveolar overdistension. This seems to be an ideal lung protective ventilation strategies to prevent ventilator-induced lung injury (VILI)2. We reported a case of severe extrapulmonary ARDS secondary to acute lymphoblastic leukaemia responding to the use of HFOV.

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来源期刊

International Medical Journal Malaysia Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

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期刊介绍： International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.