一名肌萎缩侧索硬化症患者使用便携式呼吸机“Pneu-PAC”进行夜间呼吸功能不全的自我管理。

Self-management of nocturnal respiratory insufficiency with a portable ventilator "Pneu-PAC" by an amyotrophic lateral sclerosis patient.

作者信息

Hoshino K, Kuroda A, Mizushima Y, Morikage T, Yano S

机构信息

First Department of Internal Medicine, Toyama Medical and Pharmaceutical University, Japan.

出版信息

Jpn J Med. 1991 May-Jun;30(3):260-5. doi: 10.2169/internalmedicine1962.30.260.

DOI:10.2169/internalmedicine1962.30.260

PMID:1920969

Abstract

A 76-year-old man with amyotrophic lateral sclerosis was admitted to our hospital because of progressive exertional dyspnea (PaCO2 = 68.5 torr, PaO2 = 62.5 torr). He was put on mechanical ventilation, and thereafter sleep apnea of a central type was recognized. After improvement of general conditions, a portable ventilator "Pneu-PAC" was used for the self-management of nocturnal respiratory insufficiency. A portable ventilator might be of clinical benefit for the management of a patient with neuromuscular disorder whose activities of daily living are still functional.

摘要

一名76岁的肌萎缩侧索硬化症男性患者因进行性劳力性呼吸困难（动脉血二氧化碳分压[PaCO2]=68.5托，动脉血氧分压[PaO2]=62.5托）入住我院。他接受了机械通气，此后发现存在中枢型睡眠呼吸暂停。在一般情况改善后，使用便携式呼吸机“Pneu-PAC”进行夜间呼吸功能不全的自我管理。便携式呼吸机对于日常生活活动仍有功能的神经肌肉疾病患者的管理可能具有临床益处。