ARDS肺复张的测定.pptxVIP

;;内容提要;Lung volume decreased markedly (TLC, VC, TV, FRC) ---alveolar edema ---pulmonary surfactant ---Interstitial pumonary edema depress brochiole and induce spasm Compliance reduced significantly Ventilation/perfusion mismatch ---intrapulmonary shunt and dead space like effects;CT scan 70-80% 的肺野呈现高密度区 分布：下垂部位(dependent field) 提示： 参与通气肺泡明显减少(20-30%) 肺损伤具有不均一性;A and C finding in the acute or exudative phase;肺容积/顺应性明显降低;Reduced range of volume excursion: Low compliance Flattening at low and high volumes: Lower and upper inflecti