Jolliet P, Chevrolet J C
Clinique médicale, Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr. 1991 Nov 23;121(47):1721-8.
Mechanical ventilation of chronic obstructive pulmonary disease (COPD) patients with acute respiratory failure poses certain problems specific to the pathophysiology of this condition. These difficulties arise during the mechanical ventilation phase as well as during weaning. A thorough knowledge of the mechanisms involved and of the means of minimizing complications allows the vast majority of these patients to be weaned successfully. This article reviews some of these problems and possible solutions.
对患有急性呼吸衰竭的慢性阻塞性肺疾病（COPD）患者进行机械通气会带来一些特定于该病症病理生理学的问题。这些困难在机械通气阶段以及撤机过程中都会出现。全面了解其中涉及的机制以及将并发症降至最低的方法，能使绝大多数此类患者成功撤机。本文回顾了其中一些问题及可能的解决方案。
