侧卧位机械通气对胸外伤急性呼吸衰竭患者血氧及循环的影响

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Abstract Objective To explore the impact of lateral position mechanical ventilation on blood oxygen and circulation of chest trauma patients with acute respiratory failure.Methods 20 chest trauma patients with acute respiratory failure were conducted lateral position mechanical ventilation from January 2014 to October 2015.Arterial blood gas，cycle indicator changes liked HR，MAP，CVP，CO，CI，SV and SVV before lateral position，1 h after lateral position and 1 h after recovery lateral position were tested.Results The arterial blood PaCO2had no obvious changes after change position.1 h after lateral position，the PaO2and PaO2/FiO2obvious increased than before lateral position　（P＜0.05）.1 h after recovery lateral position，the PaO2and PaO2/FiO2still obvious increased　（P＜0.05）；Changed position had no impact on HR，MBP，CVP，CO，CI，SV and SVV　（P＞0.05）.Conclusion Lateral position mechanical ventilation can improve the oxygenation status of chest trauma patients with acute respiratory failure，but have any obvious impact on hemodynamics.

Key words： Chest trauma Acute respiratory failure Mechanical ventilation Lateral position

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	Articles by authors
	YOU Yong
	JIANG Ying
	LI Chang-luo
	XIE Ming

Cite this article:

YOU Yong,　JIANG Ying,　LI Chang-luo, et al. Impact of lateral position mechanical ventilation on blood oxygen and circulation of chest trauma patients with acute respiratory failure[J]. 中国当代医药, 2016, 23(17): 29-31.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I17/29

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