呼吸力学监测的临床应用.pptVIP

病例2PIP34Pplat10PEEP5Time(sec)Pressure(cmH2O)Raw=(PIP–Plat)/Flow =(34–10)/0.75 =32cmH2Osec/LCrs =Vt/(Pplat–PEEP) =300/(10–5) =60mL/cmH2O病例2吸气阻力明显增加,原因包括气管狭窄?气管插管口径过小?病例2气管狭窄CT可见病变气管插管前高碳酸血症COPD不能解释CO2潴留气管插管口径过细气管仅有一半狭窄6.5号气管插管阻力很高疾病进展迅速气管插管导致的压力差Flowrate=0.75L/secDeltaP= 272.36xe-0.5396*ETTIDFor6.5#ETTDeltaP=8.17cmH2O气管插管导致的附加阻力Flowrate=0.75L/secResistance= 363.42xe-0.5396*ETTIDFor6.5#ETTResistance=10.9cmH2Osec/L压力差及阻力的鉴别ETT气道总计压力差8.215.824阻力10.921.132治疗的结果因患者不能耐受及配合,不