@article {Nicolai1275,作者= {Nicolai,T和Lanteri,C和Freger,N and Sly,pd},title = {非侵入性确定机械通气期间的肺泡压力},卷= {4}},Pages = {1275--1283},Year = {1991},Publisher = {欧洲呼188bet官网地址吸社会},Abstract = {{通风婴儿中无意中的阳性末端 - 验证压力(PEEPI)的发展是临床相关性的,并且很难非侵入性测量。评估了一种通过将多重回归分析应用于气道开口压力,机械通气期间的流量和体积记录来估计肺肺泡压力的方法。在八个开放式,瘫痪和机械通气的杂种狗中,直接用“肺泡胶囊”直接测量牙槽压。在三只狗中使用了通风模式的改变和添加电阻元件,以诱导不同水平的PEEPI。直接测量的端肺肺泡压力并根据气道开口压力的多线性回归确定(平均误差0.06 +/- 0.53(+/- SD)HPA,一致性限制-1.16至+1.04 HPA)。其他五只狗接受了吸入挑战,两只狗有组胺,两只含有高渗盐水,一只甲基苯胺导致呼吸系统耐药性的平均增加为230 \%(范围141-489 \%)。确定PEEPI的平均误差为0.54 +/- 0.37 HPA,一致性的限制为-0.20至1.28 hpa。然后将该方法应用于七个机械通风的儿童(年龄2个月至8岁,体重4.9-23.5 kg),并将结果与​​灵感开始的压力进行比较(相等的PEEPI)。 Seventy eight measurements were performed during open heart surgery, while compliance changed by between 3 and 186\% of baseline values due to the surgical procedures. PEEPi estimated by multiple regression agreed well with the pressure at which inspiration began (mean difference 0.25 +/- 0.68 hPa, limits of agreement -1.12 to 1.62 hPa).(ABSTRACT TRUNCATED AT 250 WORDS)}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/4/10/1275}, eprint = {//www.qdcxjkg.com/content/4/10/1275.full.pdf}, journal = {European Respiratory Journal} }