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1986年11月6～8日,第六届日本临床麻醉学会议在日本仙台市召开。会议内容包括临床麻醉、呼吸疗法、疼痛治疗等各个方面.现就有关呼吸管理治疗,人工通气的适应指征及通气方式的选择,摘要介绍如下。 P L Goldiner报告高频喷射通气(HFJV)的进展不需经口气管内插管,对于某些呼吸道障碍病人,如严重气管胸膜瘘和气管食管瘘病人,使用一般正压通气无效者改用HEJV可以取得良好的效果,能维持有效的血氧浓度和肺泡通气量而无不良影响。施行HFJV能达到最佳气体交换的条件是呼
November 1986 6 ~ 8, the sixth meeting of Japanese clinical anesthesia held in Sendai, Japan. The meeting includes all aspects of clinical anesthesia, respiratory therapy, pain management, etc. Now on the respiratory management therapy, artificial ventilation indications for adaptation and ventilation options, summarized as follows. PL Goldiner reports that progress in HFJV does not require endotracheal intubation. In some patients with respiratory disorders, such as severe tracheostomy and tracheoesophageal fistula, conversion to HEJV can be achieved using general positive airway pressure inefficiency Good results, can maintain an effective blood oxygen concentration and alveolar ventilation without adverse effects. The implementation of HFJV can achieve the best gas exchange conditions call