机械通气临床应用指引2006-中华危重病急救医学.pdfVIP

维普资讯 中国危重病急救医学 2007年 2月第 19卷第 2期 ChinCritCareM !!rury !! ：!! ： ·65 · · 标 准 与 指 南 · 机械通气临床应用指南 (2006) 中华医学会重症医学分会 Practicalguidelinesformechanicalventilation (2006) SocietyoJCriticalCareMedicine，ChineseMedical Association Corresponding authors QIN Ying—zhitDepartmentof IntensiveCareUnit，theThirdCentralHospital， Tia，l1in 210009，China．Email yzhqin yahoo．corn．cn)and LIU Da—weitDepartmento／CriticalCare Medicine．PekingUnionMedicalCollegeHospital，ChineseMedicalScienceAcademy，Beijing j00730· China．Email：dwliu@medmail．corn．cnordwliu@pumch．cn) [Abstract] Withtheexpandingunderstandingofbasicknowledgeconcerningrespiratoryfunctionand technologyofrespirator．mechanicalventilation hasbecomean importantinterventionalarmamentarium to improvegasexchangeanddecreaserespiratorywork．Itisoneoftheimportantmeanstoenhanceoxygen delivery，protectthelung，andrestorehomeostasisinthetreatmentofmultipleorgandysfunctionsyndrome． Theprogression in medicalsciencesand increasing data pertaining to evidence—based medicine havealso render the use of mechanical ventilation standardized with more appropriate indication． Under the aforementionedconditions．itseemstobeessentialthattheindicationsandtheoperationandmanipulationof the sophisticated ventilatorshouldbestandardizedin thecareofcritically |llpatients．Atthesame time， accumulationofclinicalexperiencesinrecentyearswithabundantrelevantdataasaresultofmulti—center studieshavefurnishedhighlyvaluableinformationtoaccomplish thiseffort．Basedonevidenced—basedata theChineseSocietyofCriticalCareMedicine (ChineseMedicalAssociation)heldaconsensusconferenceto draftaguidelinefortherecommendationofmechanicalventilationtocategorizealltheinformationgathered from theliteratureintofivegradesfrom A toE，withA beingth