摘要
俯卧位通气（prone position ventilation，PPV）治疗急性呼吸窘迫综合征（ARDS）可增加呼吸末功能残气量，改善通气．血流比值和促进分泌物排泄，从而改善氧合。随机对照研究观察到成人ARDS患者，特别是同时进行肺保护通气策略或较长时间进行俯卧位的患者，PPV可能降低病死率。当前资料显示对ARDS患者合并严重低氧血症时，早期PPV有帮助，但仍然需要关注体位相关的通气并发症。儿科PPV应用的疗效和安全性尚未形成一致意见。
The improvement of oxygenation basis on prone positioning in acute respiratory distress syndrome （ARDS） includes increased end- expiratory lung volume, improved ventilation- perfusion （V/Q） matching, and drainage of secretions. Randomized controlled trials report that prone position ventilation in patients with ARDS tends to reduce mortality rates, especially when used in conjunction with lung protective strategies and greater prone positioning durations. At present, the available data suggest that early prone positioning may provide benefit to ARDS with severe hypoxemia, keeping in mind that a risk of positioning - related complications will have to be taken into account when weighing the risk to benefit for patient with ARDS. There is still limited information available of prone position ventila- tion application in pediatric ARDS.
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2016年第18期1387-1389,共3页
Chinese Journal of Applied Clinical Pediatrics
关键词
俯卧位通气
急性呼吸窘迫综合征
病死率
儿童
Prone position ventilation
Acute respiratory distress syndrome
Mortality
Child
