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湲곌퀎�쟻�솚湲� (Mechanical ventilation)
�쟻�쓳
�뿈 遺��쟻�젅�븳 �룓�솗�옣
�뿈 �샇�씉洹쇱쓽 湲곕뒫遺��쟾
�뿈 怨쇰떎�븳 �샇�씉�끂�젰
�뿈 遺덉븞�젙�븳 �샇�씉�슂援�
�뿈 �닔�닠�썑 �샇�씉�꽦 �궛利�, �룓�솗�옣 遺��쟾 �샊��� 怨좎쐞�뿕 �솚�옄�쓽 �샇�씉洹� 湲곕뒫遺��쟾�쓣 �삁諛⑺븯湲� �쐞�븯�뿬 �궗�슜
�뿈 �룓�뇙�꽦 �뇤�넀�긽�솚�옄�뒗 �뇤�궡�븬�쓣 �궙異붽린 �쐞�빐�꽌 �궙��� �깂�궛媛��뒪 遺꾩븬�쓣 �쑀吏��븯�뒗 �뜲 �궗�슜
�뿈 �깮由ъ쟻 湲곗���뿉 �쓽�븳 �쟻�쓳移�
�씤怨듯샇�씉湲곌�� �븘�슂�븳 寃쎌슦
1. PaO2 [ 50mmHg �씠硫댁꽌 Fio2
] 0.60
2. PaCO2 ]50mmHg �씠硫댁꽌 pH [ 7.25
3. �룓�솢�웾 [ 1�쉶 �샇�씉�웾�쓽 2諛�
4. �쓬�븬�씉�엯�젰 [ -25cm H2O
5. �샇�씉�닔 ] 35�쉶/遺�
�솚湲곗쓽 �씪諛섏쟻 �삎�깭
�뀪.湲곌퀎議곗젅�솚湲�(cotrolled mechanical ventilation CMV)
�넂 CMV�뒗 ����긽�옄 �뒪�뒪濡� �샇�씉�쓣 �쟾��� �븷 �닔 �뾾�뒗 寃쎌슦�뿉 �쟻�슜.
�넂 �씤怨듯샇�씉湲곌�� �솚湲곕�� �쑀諛쒗븯�뒗 �뼇�떇�쑝濡쒖꽌 ����긽�옄�쓽 �옄諛쒖쟻�씤 �씉湲곕끂�젰怨� �긽愿��뾾�씠 移섎즺�옄媛� �꽕�젙�빐以� 1�쉶 �샇�씉�슜�쟻 諛� �슏�닔濡� 湲곌퀎�솚湲곌�� �씠猷⑥뼱吏꾨떎.
�뫒 紐⑺몴
?�쟻�빀�븳 �솚湲곗쓽 �쑀吏�
?�젙�솗�븳 FiO�굚�쓽 �닾�뿬
?�젙�솗�븳 �솚湲곗�� �궛�솕�쑀吏�瑜� �쐞�븳 �젙�솗�븳 �븞�젙�떆 �샇�씉�웾�쓽 �닾�뿬
?����긽�옄 �뒪�뒪濡� �솚湲곕�� �쑀吏��븷 �닔 �뾾�뒗 �궗�엺�뱾�씠 �샇�씉�븯�뒗�뜲 �뱶�뒗 �옒�쓣 媛먯냼�떆耳쒖＜�뒗 寃�
�뫓 CMV�쓽 醫낅쪟
�넂 �슜�쟻 議곗젅 �씤怨듯샇�씉湲�(volume-cycled ventilator, VCV)
- 誘몃━ �젙�빐吏� 1�쉶 �슜�웾�쓽 怨듦린媛� �룓�뿉 �쟾�떖�릺硫� �씉湲곌�� �걹�굹怨� �샇湲곌�� �떆�옉�릺�뒗 諛⑹떇
- �깮由ъ쟻�쑝濡� �븞�쟾�븳 �븳�룄�뿉�꽌 誘몃━ �젙�빐�넃��� 1�쉶 �샇�씉�웾��� 洹� �뼇�쓣 �쟾�떖�븯湲� �쐞�븯�뿬 �슂援щ릺�뒗 �븬�젰�뿉 �긽愿��뾾�씠 �솚�옄�뿉寃� �쟾�떖�맂�떎.
- �옣�젏��� 1�쉶 �샇�씉�웾�씠 �룞�씪�븯�떎�뒗 �젏�씠怨� ����긽�옄�쓽 �룓�닚�쓳�룄�뿉 �뵲�씪 1�쉶 �샇�씉�웾�쓣 �쟾 �떖�븯湲� �쐞�빐 �븘�슂�븳 �븬�젰�씠 �떖�씪吏꾨떎.
�넂 �븬�젰 議곗젅 �씤怨듯샇�씉湲�(pressure-cycled ventilator, PVC)
- �듅�젙�븳 �뼇�븬�쓣 �쟾�떖�븯�룄濡� �옣移섃��(�깮�왂)
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