摘要
自主呼吸的保留对于不同严重程度的急性呼吸窘迫综合征（ARDS）患者具有不同的意义，呼吸努力的监测是实施安全可靠的自主呼吸的关键。本文就自主呼吸的利与弊展开讨论，并对以通气反应指标、气道压力变化、胸腔内压变化、膈肌功能为导向的自主呼吸努力监测方法做一综述，建议临床医师在管理ARDS患者时，常规对自主呼吸努力进行监测，并在需要时采取干预措施，以免加重肺损伤。
Abstract
The preservation of spontaneous breathing has different meanings for patients with different severity of acute respiratory distress syndrome (ARDS). Respiratory effort monitoring is the key to the implementation of safe and reliable spontaneous breathing. We discussed the advantages and disadvantages of spontaneous respiration and reviewed the monitoring methods of spontaneous breathing efforts guided by ventilatory response indicators, airway pressure changes, intra-thoracic pressure changes, and diaphragm function in this manuscript. It is recommended for clinicians to monitor the respiratory effort that guided the intervention to avoid aggravating lung injury in ARDS management.
基金项目
国家自然科学基金面上项目(81971888)
东南大学附属中大医院院管课题(ZD2021057)
万方数据