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解答人:美国宾夕法尼亚大学医学院内科Fishman A P教授。问:有人曾指出成人呼吸窘迫综合征用氧疗不存在氧中毒的问题,请问您的意见如何? 答:动物实验均证明,猴、鼠吸纯氧皆有氧中毒,目前文献报告临床氧中毒的发病也很多。我对此深信不疑,最好不用纯氧治疗,必需时应使用呼吸末正压,尽量降低吸氧浓度。问:呼吸末正压多高,才会使心脏回流受到影响? 答:此视肺的顺应性而定,顺应性差
Answer: Professor Fishman A P, Department of Medicine, University of Pennsylvania School of Medicine. Q: It has been pointed out that adult respiratory distress syndrome with oxygen therapy does not exist oxygen poisoning, may I ask your opinion? A: Animal experiments have shown that monkeys, mice inhaled pure oxygen are aerobic poisoning, the current report of clinical oxygen toxicity A lot of illness. I am convinced of this, it is best not to use pure oxygen treatment, if necessary, the use of positive end-expiratory pressure, minimize oxygen concentration. Q: How high end of breathing pressure, will make the heart flow is affected? A: The compliance of the visual lung may be, poor compliance