波形分析在機械通气的应用.pptVIP

环路分析在机械通气中的应用;机械通气目的;;进行波形分析的必要性; Pressure versus Time; Pressure-Volume Loop;Flow-Volume Loop;Mechanical Monitoring;Airway Pressures;静态顺应性;Normal Crs is approximately 100 mL/cm H2O in the range of usual operational lung volume. ; Static compliance Crs, st = ;阻力;阻力; ;Measured Volumes;Measured Volumes;VE,VA, and PaCO2;Flow versus Time;判断流速波形;呼气流速波形在下一个吸气相开始之前呼气流速突然回到0, 这是由于小气道在呼气时过早地关闭, 使部分气体阻滞在肺泡内而引起Auto-PEEP( PEEPi)存在;评估支气管扩张剂的反应;患者对支气管扩张剂的反应性;漏气对吸呼切换的影响：漏气会导致吸气流速下降缓慢，达不到预设的切换标准（set termination threshold）;the period of mechanical inflation must match the period of neural inspiratory time (the