Can Fam Physician. 1979 Oct;25:1217-9.
Respiratory failure is often associated with multiple systems failure and must be suspected in a number of serious illnesses such as septic shock, major trauma and acute pancreatitis. It is a common presentation in patients with advanced obstructive or nonobstructive pulmonary disease or neuromuscular disorders leading to alveolar hypoventilation or severe hypoxemia. To determine the presence and severity of respiratory failure requires the ability to measure and interpret blood gases, understanding of important respiratory physiological concepts and facilities to implement and monitor appropriate therapy. Since the longterm management of such patients is complex, transfer to a major treatment centre is usually advisable once the acute phase of the problem has been controlled.
呼吸衰竭常与多系统衰竭相关，必须在一些严重疾病中怀疑，如感染性休克、重大创伤和急性胰腺炎。它是晚期阻塞性或非阻塞性肺部疾病或神经肌肉疾病患者的常见表现，导致肺泡通气不足或严重低氧血症。要确定呼吸衰竭的存在和严重程度，需要有测量和解释血气的能力、理解重要的呼吸生理概念以及实施和监测适当治疗的设施。由于此类患者的长期管理很复杂，因此一旦问题的急性期得到控制，通常建议将其转至主要治疗中心。
