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机械通气的演变历史回顾-NegativePressureVentilation(IronLung)thatwaswildlyusedduringthepolioepidemicsin50th“OnAugust25,1952,IwascalledinasanasthetistforconsultationintheEpidemiologicalHospitalofCopenhagenWithintheprecedingthreeweekstherehadbeen31patientsbulbarpoliomylitistreatedinrespirators-tankaswellascuirass.27haddied.”Fourpatientswereseenintheautopsyroomthatday.Oneofthem–a12-year-boy-haddiedinarespiratorwithabloodpressureof160andbiocarbonatelevelintheserumfarabovethenormallevel.ThelungdidnotappeartobesufficientlyatelecttictomakeadequateventilationimpossibleShewasa12-year-oldgirlwhoparalysisofallfourextremities.Shehadatelectasisofthelungandwasgaspingforair.Hertemperaturewas40.2C.Shewascyanoticandsweating.Atracheotomywasdone,acuffedendotrachealtubeputin,goodsuction,and100mgPentothal,herownrespirationstoppedandIfoundthatIcouldnowinflateherlung………..历史回顾机械通的流行病学机械通气>12小时病人的病死率，ICU建立前（U-PenGeneralHospitalMedicalandSurgicalCareAreas1965.6-1968.81969建立RICU后的机械通气病人病死率成人急性呼吸衰竭机械通气的存活率-1979-19891992.1Esdeban对西班牙47个ICU机械通气模式和脱机方法进行了调查，290名病人机械通气时间大于24小时ModesofMechanicalVentilationandWeaning-ANationalSurveyofSpanishHospitalModesofMechanicalVentilationandWeaning-ANationalSurveyofSpanishHospitalHowistheMechanicalVentilationEmployedinICU？HowistheMechanicalVentilationEmployedinICU？HowistheMechanicalVentilationEmployedinICU？常用的机械通气模式HowistheMechanicalVentilationEmployedinICU？常用的脱机模式HowistheMechanicalVentilationEmployedinICU？HowistheMechanicalVentilationEmployedinICU？常用的脱机模式A/C和PSV时呼吸机参数的设定MechanicalVentilationinOntaroio;1992-2000CharacteristicsandOutcomesinAdultPatientsReceivingMechanicalVentilation-A28-DayinternationalStudyCharacteristicsandOutcomesinAdultPatientsReceivingMechanicalVentilation-A28-DayinternationalStudyCharacteristicsandOutcomesinAdultPatientsReceivingMechanicalVentilation-A28-DayinternationalStudyTheChangingEpidemiologyofMechanicalVentilation:APopulation-basedStudyJournalofIntensiveCareMed200621(3):173-182TheChangingEpidemiologyofMechanicalVentilation:APopulation-bas
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