呼吸机相关基础知识VIP免费

呼吸机相关基础蚌医一附院重症医学科李亚军TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine相关呼吸生理基础TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine鼻咽喉气管支气管肺终末细支气管通气部分换气部分呼吸系统呼吸系统TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine生命体和外界环境之间氧和二氧化碳的交换呼吸系统TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine通气弥散灌注自主呼吸原理TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine吸气肌收缩吸气肌舒张吸气呼气主动被动人工通气原理TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine吸气呼气机械力弹性回缩力被动主动通气原理TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine自主通气机械通气压力变化容量变化机械通气机械通气(ventilation)(ventilation)机械通气是患者自然通气或氧合功能出现障碍时运用器械使患者恢复有效通气并改善氧合的方法TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine呼吸机的作用？TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine呼吸机起作用细胞通气分布弥散运输缓冲作用运输氧合作用血液运输CO2产生弥散氧利用CO2O2内呼吸外呼吸机械通气的目的？改善通气，纠正呼吸性酸中毒改善换气，纠正低氧血症减少呼吸肌作功，节约氧耗保持呼吸道通畅改善压力—容积关系TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine人工气道经鼻气管插管经口气管插管气管切开TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine呼吸机的基本构造主机附加结构监测结构TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicinequestion给患者送气why.PS.when一直送下去吗呼气.PS.要呼完吗who转换how送.PS.呼多少监测TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine常用的通气概念潮气量（Vt）：患者在平静状态下，每次所能吸入或呼出的气体容量吸气压力（Pi）：辅助/控制通气时在吸气相叠加在PEEP之上的压力分钟通气量（MV）：每分钟吸入或呼出气体的总量，分钟通气量=呼吸频率*潮气量压力支持（PS）：患者自主呼吸时在PEEP压力之上呼吸机提供的一个帮助吸气的压力PEEP：呼吸机提供的在呼气末维持的压力TheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicineTheFirstAffiliatedHospitalofBengbuMedicalCollegeinintensivemedicine常用的通气概念吸气时间：呼吸机供气时间吸呼比：在每次呼吸中，吸气所用时间和呼气所用时间之间的比值呼吸频率：患者每分钟的呼吸的次数窒息通气：仅在自主呼吸模式中，如果在预先设定的时间后病人没有自主呼吸或触发呼吸机，呼吸机将启动后备通气程序吸气触发：流速、压力、时间呼气触发：患者由吸气项转化...