Escarrabill J, Estopà R, Robert D, Casolivé V, Manresa F
Servicio de Neumología, Hospital de Bellvitge-Prínceps d'Espanya, L'Hospitalet de Llobregat, Barcelona.
Med Clin (Barc). 1991 Oct 5;97(11):421-3.
Home mechanical ventilation (HMV) is an efficient alternative in the treatment of patients with chronic respiratory failure secondary to restrictive mechanical disorders (neuromuscular disease, such as Duchenne's disease, thorax deformities due to kyphoscoliosis or tuberculosis sequelae). The case of a patient with severe kyphoscoliosis in the phase of chronic respiratory failure (PaO2 34 mmHg and PaCO2 61 mmHg, breathing ambient air) is presented in which, following the failure of negative pressure mechanical ventilation ("poncho"), positive pressure ventilation was tested with a silicon made-to-measure nasal mask as the access via. Adaptation to HMV was good with the patient using the ventilation nightly. Following 12 months of treatment the patient is able to carry out everyday activities and arterial gasometry breathing ambient air is PaO2 77 mmHg and PaCO2 43 mmHg.
家庭机械通气（HMV）是治疗继发于限制性机械障碍（神经肌肉疾病，如杜氏病、脊柱后凸侧弯导致的胸廓畸形或结核后遗症）的慢性呼吸衰竭患者的一种有效替代方法。本文介绍了一名严重脊柱后凸侧弯患者处于慢性呼吸衰竭阶段（吸入空气时，动脉血氧分压34 mmHg，动脉血二氧化碳分压61 mmHg）的病例，该患者负压机械通气（“雨披式”）失败后，试用了定制的硅胶鼻罩进行正压通气作为接入方式。患者对家庭机械通气适应良好，每晚使用通气设备。经过12个月的治疗，患者能够进行日常活动，吸入空气时动脉血气分析显示动脉血氧分压77 mmHg，动脉血二氧化碳分压43 mmHg。
