@article {musch2545,作者= {musch,g和foti,g和cereda,m和pelosi,p and p and poppi,d and d and pesenti,a},title = {正常麻醉受试者的肺和胸壁机械师以及COPD患者的患者在不同的窥视级别},音量= {10},number = {11},pages = {2545---2552},年= {1997},publisher = {欧洲呼吸社会},摘要= {以评估相对的相对188bet官网地址肺部和胸壁对急性通气衰竭(AVF)患者(COPD)患者(AVF)患者的呼吸力学疾病的贡献,我们研究了八名COPD患者,该患者接受了AVF的控制机械通气和九个正常受试者,作为手术的九名患者对照组。通过使用Interupter技术以及我们测量的食道球的技术:静态肺和胸壁弹性(E [ST,L]和E [ST,W]分别最小(r [l,min])和额外的(deltar [l])肺阻力,额外的胸壁电阻(Deltarw),在COPD组中,总固有正端验证压力(PEEPTOT)。在0、5、10和15 CMH2O的施加阳性最终验力压力(PEEP)时重复测量。我们发现,在COPD组中:1)E(ST,W)和DELTARW都高于正常组;2)由于R(L,Min)和Deltarl的增加,R(L,Max)显着增加;3)即使是低水平的PEEP提高了Peeptot; 4) PEEP did not reduce elastance or total resistance of either the lung or the chest wall. We conclude that chest wall mechanics are abnormal in chronic obstructive pulmonary disease patients with acute ventilatory failure undergoing controlled mechanical ventilation and that positive end-expiratory pressure does not seem to be effective in reducing either elastance or resistance of the lung or chest wall.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/10/11/2545}, eprint = {//www.qdcxjkg.com/content/10/11/2545.full.pdf}, journal = {European Respiratory Journal} }