Olofson J, Pehrsson K, Dellborg C, Wernstedt L, Gullnert B, Israelsson B, Skoogh B E
Biträdande överläkare, Samtliga verksamma vid Renströmska sjukhuset, Göteborg.
Lakartidningen. 1990 Apr 11;87(15):1247-52.
Nocturnal ventilation in respiratory insufficiency due to neuromuscular disease and/or thoracic deformity leads to improvement in the quality of life and daytime arterial blood gases, and also in survival. Several methods for nocturnal ventilation are now available. In this paper we report our experiences of treatment with nocturnal ventilation with various methods in 26 patients in Gothenburg. We conclude that respiratory insufficiency due to neuromuscular disease and/or primary treatment for thoracic deformity should be nocturnal positive pressure ventilation via a nasal mask. If this treatment fails positive pressure ventilation should be administered via special mouth pieces or via tracheostoma.
神经肌肉疾病和/或胸廓畸形所致呼吸功能不全患者进行夜间通气可改善生活质量、日间动脉血气,还能提高生存率。目前有多种夜间通气方法可供选择。本文报告了我们在哥德堡对26例患者采用多种方法进行夜间通气治疗的经验。我们得出结论,神经肌肉疾病和/或胸廓畸形所致呼吸功能不全的主要治疗方法应是经鼻面罩进行夜间正压通气。若该治疗失败,则应通过特殊口器或气管造口进行正压通气。