圍手術(shù)期肺保護62張課件

圍手術(shù)期肺保護圍手術(shù)期肺保護內(nèi)容提要e為什么要保護圍術(shù)期病人的肺功能?如何保護肺功能e沐舒坦在肺保護中的作用內(nèi)容提要圍手術(shù)期肺保護62張課件高危人群老年肥胖原有呼吸系統(tǒng)疾病:如COPD●長期臥床吸煙胸部外傷高危人群圍手術(shù)期肺保護62張課件術(shù)前肺順應性下降、老年)一阻力增加肺通氣和換氣功能減退纖毛擺動功能紊亂分泌物增加吸煙吸煙者術(shù)后并發(fā)癥的發(fā)生率是非吸煙者的26倍腹內(nèi)脂肪多,膈肌抬高肥胖低氧血癥和高碳酸血癥心肺功能減退長期臥床)一·肺膨脹不全抵抗力低下氣流阻塞性COPD氣道高反應性術(shù)前圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件手術(shù)與麻醉對肺功能的影響上腹部術(shù)后vC,FVC,FV的變化率FVC士FEV15030術(shù)前8h12h1234567《上腹部手術(shù)對肺功能的影響》中華麻醉學雜志1994年2月第14卷第1期手術(shù)與麻醉對肺功能的影響圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張課件圍手術(shù)期肺保護62張