[在接受机械呼吸的患者中,应持续监测呼吸肌肉强度]
1Department of Critical Care Medicine, Tianjin Third Central Hospital, Tianjin 300170, China. Corresponding author: Qin Yingzhi,
机械通风可能会损害肺部和隔膜,导致难以断奶. 在机械通风过程中保护隔膜功能对于更好的患者结果和防止断奶失败至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
- 肺部病理学 肺部病理学
背景情况:
- 机械通风 (MV) 对呼吸衰竭至关重要,但可以诱导肺损伤 (VALI) 和腹膜功能障碍 (VIDD).
- 透气诱导的隔膜功能障碍 (VIDD) 与VALI相互关联,导致断奶失败.
- 在MV期间保护隔膜功能越来越被认为是至关重要的.
研究的目的:
- 讨论风险因素和通风诱导的隔膜功能障碍 (VIDD) 的致病性.
- 突出介膜保护策略在整个机械通风过程中的重要性.
- 强调VIDD的早期检测和干预,以改善断奶结果.
主要方法:
- 审查现有的关于机械通风,VALI和VIDD的文献.
- 分析在MV期间导致隔膜功能障碍的风险因素.
- 讨论VIDD背后的致病机制.
主要成果:
- 机械通风带来风险,包括VALI和VIDD.
- VIDD是导致断奶失败的一个重要因素.
- 早期识别和管理VIDD与更好的预后有关.
结论:
- 隔膜功能保护策略对于接受机械通风的患者至关重要.
- 建议持续监测呼吸道肌肉强度.
- 及时干预VIDD可以减少困难的断奶,并改善患者的治疗结果.
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