驱动压导向个体化滴定 PEEP 用于胸腔镜手术的研究进展

冬冬 宋(承德医学院附属医院中国)
莺春 宋(承德医学院附属医院中国)

摘要

胸腔镜手术的特点是术中需要单肺通气来保证手术的顺利进行，单肺通气期间通气/血流比值失调容易引起低氧血症，同时术后急性肺损伤及术后肺部并发症发生率也较高。在胸腔镜手术中应用肺保护性通气策略是已被证实的有效的肺保护措施，驱动压指导的个体化滴定PEEP作为一种新型的肺保护性通气策略，可以用于改善肺部手术患者的肺力学和气体交换，近年来已成为肺保护性通气策略领域的热点，但其滴定方法及最佳PEEP的设定尚未形成共识，因此论文就驱动压导向PEEP滴定法的研究进展进行综述。

关键词

驱动压；个体化呼气末正压；肺保护性通气策略；单肺通气

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v7i11.22437