Dumitrache-Rujinski Stefan, Croitoru Alina, Bogdan Miron Alexandru
Institutul de Pneumologie Marius Nasta, Bucureşti.
Pneumologia. 2012 Apr-Jun;61(2):117-9.
COPD exacerbations with respiratory acidosis are difficult to manage, especially when OSA and obesity are associated. The solution is the use of noninvasive ventilation associated with oxygenotherapy in order to correct the hypercapnia, hypoxemia and respiratory acidosis and to prevent the invasive mechanical ventilation. Early respiratory rehabilitation and the use of a domiciliary ventilatory support after the acute episode could be a part of the management for these patients. We present a modality of therapeutical approach through a clinical case.
伴有呼吸性酸中毒的慢性阻塞性肺疾病急性加重期难以处理，尤其是当合并阻塞性睡眠呼吸暂停和肥胖时。解决办法是采用无创通气联合氧疗，以纠正高碳酸血症、低氧血症和呼吸性酸中毒，并预防有创机械通气。早期呼吸康复以及在急性发作后使用家庭通气支持可能是这些患者治疗的一部分。我们通过一个临床病例展示一种治疗方法。
