手术前后的呼吸衰竭精选.pptVIP

手術前後呼吸衰竭Perioperative Respiratory Failure 重症課程 2004.07.01. Key Manifestations Pulmonary edema (肺積水, 水分太多) Atelectasis (肺塌陷, 容量減少) Alveolar hypoventilation (換氣不足) Aspiration (異物吸入) Pulmonary Edema Microvascular hydrostatic pressure “normal” response trauma ? ADH, aldosterone ? conserve water Fluid overload Pulmonary capillary permeability Unrecognized sepsis Lung Edema Atelectasis (collapse) Concepts FRC Closing volume Perioperative Atelectasis Reduced FRC Increased closing volume Lung Volumes Functional residual capacity (FRC) is the volume of air in the lungs at the end of a normal expirat