ID 原文 译文
7761 挽救治疗:对于严重ARDS患者,建议进行肺复张。 Salvage treatment: For patients with severe ARDS, it is recommended to perform lung expansion.
7762 每天应当进行12小时以上的俯卧位通气。 Prone ventilation should be performed for more than 12 hours per day.
7763 俯卧位机械通气效果不佳者,如条件允许,应当尽快考虑体外膜肺氧合(ECMO)。 When prone position mechanical ventilation is not effective, if conditions permit, extracorporeal membrane pulmonary oxygenation (ECMO) should be considered as soon as possible.
7764 相关指征 Related indications
7765 在Fi02>90%时,氧合指数小于80mmHg,持续3-4小时以上; When FiO2> 90%, the oxygenation index is less than 80mmHg, which lasts more than 3-4 hours;
7766 气道平台压≥35cmH20o单纯呼吸衰竭患者,首选VV-ECMO模式; Patients with simple respiratory failure with airway plateau pressure≥35 cm H2O, the VV-ECMO mode is preferred;
7767 若需要循环支持,则选用VA-ECM0模式。 if circulatory support is needed, then VA-ECMO mode will be selected.
7768 在基础疾病得以控制,心肺功能 有恢复迹象时,可开始撤机试验。 When the underlying disease is under control and cardiopulmonary function shows signs of recovery, weaning trials should be considered to begin.
7769 循环支持 Circulation support
7770 在充分液体复苏的基础上,改善微循环,使用血管活性药物, Based on adequate fluid resuscitation, improvement of microcirculation and use of vasoactive drugs may be considered.