3.通气模式英文全称: (1)CMV:持续控制通气,continuous mandatory ventilation (2)IPPV:间隙正压通气,intermittent positive preassure ventilation (3)A/CV:辅助/控制通气,assist-control ventilation (4)PC:压力控制,preassure control (5)VC:容量控制,volume control (6)IMV:间隙指令通气,intermittent mandatory ventilation (7)SIMV:同步间隙指令通气,synchronized intermittent mandatory ventilation (8)PSV:压力支持通气,preassure support ventilation (9)VSV:容量支持通气,volume support ventilation (10)MMV:指令每分通气,mandatory minute ventilation (11)PRVC:压力调节容量控制,preassure regulated volume control (12)PAV:成比例辅助通气,proportional assist ventilation (13)APRV:气道压力释放通气,airway preassure release ventilation (14)VAPSV:容量保障压力支持通气,volume assured preassure support ventilation (15)PA:压力扩增,preassure augmentation (16)ASV:适应性支持通气,adaptive support ventilation (17)APV:适应性压力通气,adaptive preassure ventilation (18)BiPAP:双水平或双相气道正压,bilevel or biphasic positive airway preassure (19)PEEP:呼气末正压,positive end-expiratory preassure (20)CPAP:持续气道正压,continuous positive airway preassure 六、相关公式简介: 1.肺泡氧分压(PAO2)=(PB-47)*(FiO2≥60%系数为1) 2.组织氧含量(CaO2)=*Hb*SaO2+* PaO2 3.氧摄取率(O2ER)= V O2/ D O2=(SaO2- SvO2)/ SaO2(正常值20%~30%) 组织氧摄取(VO2)=*CO*Hb*(SaO2- SvO2);成人110~160ml/(min*m2) 组织氧运输(DO2)=*CO*Hb*SaO2 成人520~570ml/(min*m2) 2.氧合指数(OI)=FiO2*Pmean*100/ PaO2(〈5%);PaO2 / FiO2也可表示氧合 3.肺内分流(Qs/QT)=(CcO2-CaO2)/(CcO2-CvO2)(〈10%) 估计公式(吸纯氧20min)Qs/QT=35%-(PaO2 /20)% 4.死腔与潮气量比(VD/VT)=(PaCO2-PECO2)/ PaCO2 正常值:自主呼吸时20%~40%;机械通气时40%~60% 5.气道峰压(PIP)=气道阻压(PRaw)+气道平台压(Ppla)=R*Flow+V/C+PEEP 平均气道压=(PIP-PEEP)*Ti/TOT*K+PEEP (恒压通气K=1;恒流通气K=1/2) 6.动态顺应性(Cdyn)=VT/(PIP-PEEP);静态顺应性(Cst)= VT /(Ppla -PEEP) 7.肺总量TLC=肺活量VC+残气量RV=深吸气量IC(补吸气量IRV+潮气量VT)+功能残气量FRC(补呼气量ERV+残气量) 8.压力换算关系:1cmH2O=;1mmHg= kPa;1kPa =; 1atm≈1bar≈100kpa
(1)间歇正压通气(intermittent positive pressure ventilation,IPPV)
(2)间歇正负压通气(intermittent positive negative pressure ventilation,IPNPV)
(3)持续正压气道通气(continuous positive airway pressure,CPAP) 一、MODE 模式
(S)CMV (Synchronized)Control Mechanical Ventilation (同步)控制机械通气 (A/C) MV (Assist/Control) Mechanical Ventilation (辅助/控制)机械通气 Apnoea ventilation 窒息通气
APRV Airway Pressure Release Ventilation 压力释放通气 APV Adaptive Pressure Ventilation 适应性压力通气 ASB Assisted Spontaneous Breath 辅助自主呼吸 ASV Adaptive Support Ventilation 适应性支持通气 BACKUP 背景通气
BILEVEL Biphasic Level 双相正压通气
BIPAP Biphasic Intermittent Positive Airway Pressure 双相间歇正压(通气) BIPAP-APRV Biphasic Intermittent Positive Airway Pressure / Airway Pressure Release Ventilation? 双相间歇正压(通气)-压力释放通气
BIPAP Assist? Biphasic Intermittent Positive Airway Pressure Assist? 辅助双相 间歇正压通气
BIPAP-SIMV?? Biphasic Intermittent Positive Airway Pressure/ Biphasic Intermittent Positive Airway Pressure? 双相间歇正压(通气)-同步间歇指令通气 CPAP?? Continuous Positive Airway Pressure? 持续正压通气 CMV? Control Mandatory Ventilation? 控制机械通气 PLV?? Pressure Limited Ventilaiton? 压力限制通气 IRV???? 反比通气
ILV? Independent lung ventilation? 分侧肺通气
IPPV?? Intermittent Positive Pressure Ventilation? 间歇正压通气
MMV?? Mandatory minute ventilation? 指令分钟通气量通气 P-CMV
? Pressure---Control Mandatory Ventilation? 压力目标型控制通气 P-SIMV
? Pressure---Biphasic Intermittent Positive Airway Pressure? 压力目标型同步间 歇指令通气
PEEP? Positive expiratory end pressure? 呼气末正压 PEEP/CPAP???? 呼气末正压
PLV? Pressure Limited?? 压力限制通气 Vt? Ventilation? 潮气量 ? SIGH? 叹息通气
SIMV? Biphasic Intermittent Positive Airway Pressure? 同步间歇指令通气 ? SPONT ? 压力支持通气 ? Intermittent?? 间歇 ? Spontaneous?? 自主 ? Assisted??? 辅助 机械通气常用英文索引 二,PARAMETERS参数 %Min Vol
分钟通气量百分比 /L压力上升时间 /L压力上升时间
↑fTOT 高呼吸频率报警 air trapping 气体陷闭 apnea 窒息 ASB/L 压力上升时间 ASB 支持压力 Auto flow 自动变流 Bar Graph 条形图 Bar Graph 条形图 Basic setting 基础参数 Body Wt 病人体重 Brightness 亮度 Contrast 对比度 Error Message
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