Pearse R M, Draper A, Grounds R M
Intensive Care Unit, St James Wing, St George's Hospital, Blackshaw Road, London SW17 0QT, UK.
Br J Anaesth. 2003 Dec;91(6):913-6. doi: 10.1093/bja/aeg252.
A 72-yr-old man presented with respiratory failure secondary to Guillain-Barré syndrome. Although the criteria for mechanical ventilation were satisfied, the absence of weakness of the bulbar muscles allowed the safe use of non-invasive ventilation for 2 weeks in this patient. Invasive ventilation and tracheostomy were avoided and the patient made a good recovery.
一名72岁男性因吉兰-巴雷综合征继发呼吸衰竭就诊。尽管符合机械通气标准,但该患者延髓肌无力缺如,因此可安全使用无创通气2周。避免了有创通气和气管切开术,患者恢复良好。