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T.Becher*,M.Bu?meyer,I.Lautenschl€ager,D.Sch€adler,N.WeilerandI.Frerichs

BritishJournalofAnaesthesia,?(?):1e10()

doi:10./j.bja..02.

AbstractBackground:Electricalimpedancetomography(EIT)isincreasinglyusedforcontinuousmonitoringofventilationinintensivecarepatients.Clinicalobservationsinpatientswithpleuraleffusionshowanincreaseinout-of-phaseimpedancechanges.Wehypothesisedthatout-of-phaseimpedancechangesareatypicalEITfindinginpatientswithpleuraleffusionandcouldbeusefulinitsdetection.

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±³¾°£ºµç×迹³ÉÏñ£¨EIT£©¼¼ÊõÔÚÖØÖ¢¼à»¤»úÐµÍ¨Æø»¼ÕߵijÖÐø¼à²âÖеÄÓ¦ÓÃÖð½¥Ôö¶à¡£ÁÙ´²¹Û²ìµ½ÐØÇ»»ýÒº»¼ÕßÒìÏà×迹±ä»¯Ôö¶à¡£ÎÒÃÇÍÆ²âÕâÖÖÒìÏà×迹±ä»¯ÊÇÐØÇ»»ýÒº»¼ÕßµÄEITµäÐͱíÏÖ£¬Äܹ»ÓÃÓÚ¼ì²âÐØÇ»»ýÒº¡£Methods:Weconductedaprospectiveobservationalstudyinintensivecareunitpatientswithandwithoutpleuraleffusion.Inpatientswithpleuraleffusion,EITdatawererecordedbefore,during,andafterunilateraldrainageofpleuraleffusion.Inpatientswithnopleuraleffusion,EITdatawererecordedwithoutanyintervention.EITimageswereseparatedintofourquadrantsofequalsize.Weanalysedthesumofout-of-phaseimpedancechangesintheaffectedquadrantinpatientswithpleuraleffusionbefore,during,andafterdrainageand







































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