国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2014年
10期
928-931
,共4页
允许性低氧血症%急性呼吸窘迫综合征%氧供%氧饱和度%心输出量
允許性低氧血癥%急性呼吸窘迫綜閤徵%氧供%氧飽和度%心輸齣量
윤허성저양혈증%급성호흡군박종합정%양공%양포화도%심수출량
Permissive hypoxemia%Acute respiratory distress syndrom%Oxygen delivery%Oxygen saturation%Cardiac output
背景 允许性低氧血症是指对于难治性低氧的危重患者在相对较低的氧饱和度的情况下,通过优化心输出量(cardiac output,CO),部分代偿呼吸功能,维持正常氧供(delivery of oxygen,DO2),减少机械通气对肺部和全身的损害. 目的 对目前允许性低氧血症理论与实践进展综述,为进一步的研究与讨论提供基础. 内容 阐述允许性低氧血症的基本概念、起源、理论基础、研究进展及临床实践可能需要关注的问题. 趋向 理论上允许性低氧血症能够改善危重患者的临床预后,但仍需更多的临床实验来证明其在危重患者呼吸管理中的有效性和安全性.
揹景 允許性低氧血癥是指對于難治性低氧的危重患者在相對較低的氧飽和度的情況下,通過優化心輸齣量(cardiac output,CO),部分代償呼吸功能,維持正常氧供(delivery of oxygen,DO2),減少機械通氣對肺部和全身的損害. 目的 對目前允許性低氧血癥理論與實踐進展綜述,為進一步的研究與討論提供基礎. 內容 闡述允許性低氧血癥的基本概唸、起源、理論基礎、研究進展及臨床實踐可能需要關註的問題. 趨嚮 理論上允許性低氧血癥能夠改善危重患者的臨床預後,但仍需更多的臨床實驗來證明其在危重患者呼吸管理中的有效性和安全性.
배경 윤허성저양혈증시지대우난치성저양적위중환자재상대교저적양포화도적정황하,통과우화심수출량(cardiac output,CO),부분대상호흡공능,유지정상양공(delivery of oxygen,DO2),감소궤계통기대폐부화전신적손해. 목적 대목전윤허성저양혈증이론여실천진전종술,위진일보적연구여토론제공기출. 내용 천술윤허성저양혈증적기본개념、기원、이론기출、연구진전급림상실천가능수요관주적문제. 추향 이론상윤허성저양혈증능구개선위중환자적림상예후,단잉수경다적림상실험래증명기재위중환자호흡관리중적유효성화안전성.
Background Permissive hypoxemia is a lung-protective strategy that aims to make critically ill patients with refractory hypoxemia maintain normal levels of oxygen delivery through optimizing cardiac output (CO) to partially compensate respiratory function in a relatively low oxygen saturation,and thereafetr minimize the detrimental pulmonary and systemic effects of ventilatory support.Objective The objective of this review is to offer reference for the understanding and discussion of the rationality and progression of permissive hypoxemia.Content Elaborating the concept,origin,rationality and progression of permissive hypoxemia,and problems that may be needed to concern in clinic.Trend Theoretically,permissive hypoxemia may improve outcomes in critically ill patients.Clinical studies are clearly needed to evaluate the safety and efficacy of permissive hypoxemia.
