Bach John R, Hunt David, Horton John A
Department of Physical Medicine and Rehabilitation, UMDNJ-The New Jersey Medical School, Newark 07103, USA.
Am J Phys Med Rehabil. 2002 Oct;81(10):792-7. doi: 10.1097/01.PHM.0000027205.42338.72.
A 15-yr-old patient with high-level spinal cord injury developed ventilatory failure 24 hr after hospital admission and required continuous ventilatory support. Although he lost all ventilator-free breathing tolerance, he was managed by receiving noninvasive intermittent positive-pressure ventilation rather than intermittent positive-pressure ventilation via an endotracheal intubation. Cooperative, uncomplicated, acutely injured patients with spinal cord injury who develop ventilatory failure are candidates to use noninvasive intermittent positive-pressure ventilation to avoid intubation.
一名15岁的高位脊髓损伤患者在入院24小时后出现呼吸衰竭，需要持续的通气支持。尽管他完全丧失了自主呼吸耐受力，但他接受的是无创间歇性正压通气治疗，而非通过气管插管进行间歇性正压通气。对于发生呼吸衰竭的脊髓损伤急性患者，如果他们配合治疗且病情不复杂，可采用无创间歇性正压通气来避免插管。
