机械通气是急性呼吸窘迫综合征(ARDS)的主要治疗手段,肺复张手法应用较高压力开放塌陷肺泡,并使用高呼吸末正压防止肺泡塌陷,期望恢复肺泡的同一性,减少呼吸机相关性肺损伤,改善患者预后。但近年的临床试验却得出矛盾的结果,其有效性及安全性及具体实施方法仍无统一意见。现就压力控制法肺复张在ARDS中的有效性、安全性的操作方法予以综述。 Mechanical ventilation is the main treatment of acute respiratory distress syndrome (ARDS). Pulmonary reclaim technique uses higher pressure to open the collapsed alveoli and use high positive end-expiratory pressure to prevent alveolar collapse. It is expected to restore the alveolar homogeneity and reduce the ventilator-related Lung injury, improve patient prognosis. However, in recent years, clinical trials have come to conflicting results. There is still no unified opinion on its effectiveness and safety and its specific implementation methods. Now on the pressure control method of lung recruitment in the ARDS in the effectiveness of the method of operation to be reviewed.