ards肺复张的实施.pptVIP

ARDS肺复张的实施(shíshī) 科学(kēxué)与艺术的困惑 第一页，共30页。 内容提要(nèi rónɡ tí yào) 肺保护性通气策略不能解决解决的问题 肺泡塌陷的病理生理后果 肺复张的临床(lín chuánɡ)实施 Prone position Spontaneous breathing High VT and sigh RM 第二页，共30页。 ARDSnet: 小潮气量通气(tōng qì) Low Tidal Volumes Traditional Tidal Volumes P-value Death before discharge home and breathing without assistant (%) 31.0 39.8 0.007 Breathing without assistance by days (%) 65.7 55.0 0.001 NO of ventilator free days Day1-28 12±11 10±11 0.007 Boratrauma, Day1-28(%) 10 11 0.43 NO of days without failure of nonpulmonary organs or systems Day1-28 15±11 12±11 0.006 ARDS Net. N