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Effect of prone position ventilation on hemodynamics in patients with acute respiratory distress syndrome |
WANG Caihong WANG Nan ZHANG Xiumin▲ |
the Second Department of Intensive Care Unit, Xinjiang Uygur Autonomous Region People′s Hospital, Xinjiang Uygur Autonomous Region, Urumqi 830000, China |
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Abstract the Second Department of Intensive Care Unit, Xinjiang Uygur Autonomous Region People′s Hospital, Xinjiang Uygur Autonomous Region, Urumqi 830000, Chinapine position (P > 0.05). After prone position ventilation, 15.63% patients showed skin mucosal injury, 6.25% blood pressure decreased, 6.25% vomited stomach contents, 71.88% had no adverse reactions and 9.38% had no response. Conclusion Prone position ventilation can improve oxygenation in patients with ARDS, promote airway sputum drainage, have no obvious influence on hemodynamics. The gravity dependence and heterogeneity of ARDS patients are corrected. The safety is good. It is worthy of clinical promotion and application.
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Fund:新疆维吾尔自治区人民医院科技引进创新项目(20170206)。 |
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[1] 俞森洋.对急性呼吸窘迫综合征诊断新标准(柏林定义)的解读和探讨[J].中国呼吸与危重监护杂志,2013,12(1):1-4.
[2] Thompson BT,Chambers RC,Liu KD. Acute Respiratory Distress Syndrome [J]. New Engl J Med,2017,377(6):562.
[3] 王秀岩,徐思成,刘光明,等.有创—无创序贯性机械通气治疗急性呼吸窘迫综合征的时机探讨[J].中华危重病急救医学,2014,26(5):330-334.
[4] 李晓华,李福祥,肖贞良.严重急性呼吸窘迫综合征的治疗策略[J].中华危重病急救医学,2013,25(3):186-189.
[5] 王亚妹.急性呼吸窘迫综合征机械通气策略的新进展[J].中国当代儿科杂志,2013,15(6):496-500.
[6] 米洁,黄桃,高西.俯卧位通气在急性呼吸窘迫综合征中的应用及护理干预研究[J].重庆医学,2017,46(14):1904-1906.
[7] Roch A,Hraiech S,Masson E,et al. Outcome of acute respiratory distress syndrome patients treated with extracorporeal membrane oxygenation and brought to a referral center [J]. Intens Care Med,2014,40(1):74-83.
[8] 刘兆润,董丽,吴国刚.俯卧位通气在中重度急性呼吸窘迫综合征的临床应用进展[J].中国呼吸与危重监护杂志,2016,15(5):517-519.
[9] 王亚芹,郝建玲,陈佳云,等.重症急性胰腺炎合并急性呼吸窘迫综合征患者一例的护理[J].解放军护理杂志,2016,33(12):56-58.
[10] Kor DJ,Warner DO,Carter RE,et al. Extravascular lung water and pulmonary vascular permeability index as markers predictive of postoperative acute respiratory distress syndrome:a prospective cohort investigation [J]. Crit Care Med,2015,43(3):665-773.
[11] 招军,袁大华,黄敏.肺表面活性物质联合机械通气治疗新生儿呼吸窘迫综合征的临床观察[J].现代预防医学,2013,40(4):630-632.
[12] 吕平,梁锡铭,吴柳.老年机械通气患者脉氧饱和度波形与低血压的相关性[J].解放军护理杂志,2015,32(10):54-55,69
[13] 汪海源,臧彬.呼气末正压通气对急性呼吸窘迫综合征患者血液动力学的影响[J].中国现代医学杂志,2013, 23(20):76-77.
[14] 韩惠芳,徐宇红,岳静燕,等.俯卧位不同翻身时间对急性呼吸窘迫综合征机械通气患者的影响[J].护理杂志,2013,48(10):923-925.
[15] 杨婉丽,杨立明,谭晶.不同呼气末正压机械通气及不同体位对呼吸衰竭患者中心静脉压的影响[J].解放军护理杂志,2015,32(13):48-49,58.
[16] 陈曦,吴奇云,王馨,等.俯卧位通气对急性呼吸窘迫综合征患者影响的Meta分析[J].解放军护理杂志,2016, 33(7):20-23,27.
[17] 刘丽平,李斌,朱磊,等.硝酸甘油对感染性休克合并ARDS患者的临床疗效观察[J].解放军医学杂志,2015, 40(8):647-651.
[18] 季明霞,斯小水,何建新,等.乌司他丁联合持续血液净化治疗对急性呼吸窘迫综合征患者肺血管内皮通透性的影响研究[J].中国全科医学,2015,18(6):688-691.
[19] 徐盈,张燕芳,陈国兵,等.俯卧位机械通气对急性肺损伤/急性呼吸窘迫综合征患者动脉氧合及血流动力学的影响研究[J].中国全科医学,2014,17(12):1346-1349.
[20] 彭小贝,唐春炫,李映兰.老年腹部手术后肺部并发症患者实施改良俯卧位通气的效果和护理[J].解放军护理杂志,2012,29(9):71-73.
[21] 莫必华,刘艳秀,甘国能,等.重度ARDS患者应用俯卧位通气联合肺复张对血流动力学及预后的影响[J].临床肺科杂志,2015,20(11):2073-2075.
[22] De PN,Dreyfuss D. How to prevent ventilator-induced lung injury? [J]. Minerva Anestesiol,2012,78(9):1054-1066. |
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