慢性阻塞性肺疾病中的无创通气：急性Ⅱ型呼吸衰竭的管理
Non-invasive ventilation in chronic obstructive pulmonary disease: management of acute type 2 respiratory failure.
作者信息
Roberts C M, Brown J L, Reinhardt A K, Kaul S, Scales K, Mikelsons C, Reid K, Winter R, Young K, Restrick L, Plant P K
机构信息
Barts and the London School of Medicine and Dentistry.
出版信息
Clin Med (Lond). 2008 Oct;8(5):517-21. doi: 10.7861/clinmedicine.8-5-517.
Non-invasive ventilation (NIV) in the management of acute type 2 respiratory failure in patients with chronic obstructive pulmonary disease (COPD) represents one of the major technical advances in respiratory care over the last decade. This document updates the 2002 British Thoracic Society guidance and provides a specific focus on the use of NIV in COPD patients with acute type 2 respiratory failure. While there are a variety of ventilator units available most centres now use bi-level positive airways pressure units and this guideline refers specifically to this form of ventilatory support although many of the principles encompassed are applicable to other forms of NIV. The guideline has been produced for the clinician caring for COPD patients in the emergency and ward areas of acute hospitals.
无创通气（NIV）用于慢性阻塞性肺疾病（COPD）患者急性Ⅱ型呼吸衰竭的管理，是过去十年呼吸护理领域的重大技术进展之一。本文更新了2002年英国胸科学会的指南，并特别关注NIV在COPD急性Ⅱ型呼吸衰竭患者中的应用。虽然有多种呼吸机可供使用，但目前大多数中心使用双水平气道正压通气设备，本指南专门针对这种通气支持形式，尽管其中包含的许多原则也适用于其他形式的无创通气。本指南是为在急性医院急诊和病房护理COPD患者的临床医生编写的。
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