GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE ZDRAVOOKHRANENIJA GORODA MOSKVY NAUCHNO-ISSLEDOVATELSKIJ INSTITUT SKOROJ POMOSHCHI IMENI N.V. SKLIFOSOVSKOGO DEPARTAMENTA ZDRAVOOKHRANENIJA G. MOSKVY
发明人:
KHUBUTIJA MOGELI SHALVOVICH,Хубутия Могели Шалвович,KURILOVA OKSANA ALEKSANDROVNA,Курилова Оксана Александровна,ROMANOV ALEKSANDR ALEKSANDROVICH,Романов Александр Александрович,ZHURAVEL SERGEJ VLADIMI
申请号：
RU2014131852
公开号：
RU2570621C1
申请日:
2014.08.01
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: 10 minutes after artificial one-lung ventilation starts, before a lung is removed, partial pressure of oxygen arterial blood (PaO), arterial blood pH value (pH) and average pressure in the pulmonary artery are measured. That is combined with assessing the artificial one-lung ventilation parameters. Airway plateau pressure (Pplato) generated by an artificial lung ventilation apparatus and oxygen percentage in respiratory gas (FiO) supplied to the lungs are measured. The value (X) is calculated by formula:, wherein Z is an arterial blood pH level (pH) in points according to the following provisions: if pH is more than 7.3, the pH level is 0 points if pH falls within the range from 7.3 to 7.25, the pH level is 5 points pH from 7.24 to 7.2 stands for 10 points, and pH less than 7.2 requires 15 points Y is an average pressure in the pulmonary artery (avPPA) in points according to the following provisions: if avPPA is less than 40 mm Hg, 0 points are assigned avPPA from 40 to 50 mm provides 5 points 10 points are added if avPPA is from 51 to 60 mm Hg, and avPPA exceeding 60 mm Hg means 15 points. If X is 35 or more, using the extracorporeal oxygenation techniques is considered to be unavoidable. If X is less than 35, it is supposed to be determined at the following transplantation stages.EFFECT: method enables the accurate determination if it is necessary to start complete substitution of the pulmonary ventilation and to support the blood flow by means of extracorporeal membrane oxygenation during a lung transplantation surgery.4 cl, 11 tbl, 3 exИзобретение относится к медицине, а именно к анестезиологии и трансплантологии, и может быть использовано для определения необходимости использования экстракорпоральных методов оксигенации при трансплантации легких. Через 10 минут с начала проведения искусственной однолегочной вентиляции перед началом удаления легкого осуществляют измерение парциального давления кислорода в артериальной крови (PaO), пока
