论文部分内容阅读
间歇正压人工通气可引起肺气压伤,在临床上表现为气胸、纵隔气肿和皮下气肿等,其发病率约为10%。但肺气压伤并不局限于以上几种情况,本文作者通过对一组曾接受过人工通气治疗而死亡的病例进行尸检,发现凡使用过高压人工通气治疗者有明显的终末细支气管和呼吸性细支气管扩张,产生蜂窝样肺。本组11例,男6例;女5例,年龄范围9岁～82岁,除1例有两上肺纤维化结核外均无原发性肺部疾病。入院后由于各种原因并发呼吸衰竭,并使用人工通气治疗0.4天～31天不等。大多数病例肺部并发症发生于应用人工通气之前或治疗期间,由于肺内分流
Intermittent positive pressure artificial ventilation can cause pulmonary pressure injury, clinical manifestations of pneumothorax, mediastinal emphysema and subcutaneous emphysema, the incidence of about 10%. However, pulmonary pressure injury is not limited to the above cases, the author of a group of patients who had undergone artificial ventilation died of autopsy and found that those who have used high-pressure artificial ventilation treatment of patients with significant bronchial and respiratory terminal Bronchioles expand to produce honeycombing lungs. The group of 11 patients, 6 males; 5 females, the age range of 9 years to 82 years, except for 1 case of two pulmonary fibrosis tuberculosis outside the primary lung disease. After admission due to various reasons complicated by respiratory failure, and the use of artificial ventilation for 0.4 days to 31 days. Most cases of pulmonary complications occurred before or during the application of artificial ventilation, due to pulmonary shunt