Mazlan Mohd Zulfakar, Ali Saedah, Zainal Abidin Huda, Mokhtar Ariffin Marzuki, Ab Mukmin Laila, Ayub Zeti Norfidiyati, Nadarajan Chandran
Department of Anesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Department of Microbiology and Parasitology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Respir Med Case Rep. 2017 May 8;21:161-163. doi: 10.1016/j.rmcr.2017.05.002. eCollection 2017.
Non-invasive ventilation (NIV) is not proven to be effective in treating respiratory failure in severe pneumonia. However, some clinicians nevertheless attempt NIV to indirectly deliver adequate oxygenation and avoid unnecessary endotracheal intubation.
In this article, we report the case of a 24-year-old woman at 32 weeks' gestation who presented with hypoxemic respiratory failure requiring mechanical ventilation. She was successfully managed by NIV.
However, NIV must be managed by providers who are trained in mechanical ventilation. This is of the utmost importance in avoiding any delay should the patient's condition worsen and require endotracheal intubation. Moreover, in pregnant women, the severity of illness may progress quickly due to the immunosuppression inherent in these patients.
Special attention should be given to the choices of invasive ventilation and NIV to manage community acquired pneumonia patients in third trimester.
无创通气（NIV）在治疗重症肺炎呼吸衰竭方面的有效性尚未得到证实。然而，一些临床医生仍尝试使用无创通气来间接实现充分的氧合，并避免不必要的气管插管。
在本文中，我们报告了一名妊娠32周的24岁女性病例，该患者出现低氧性呼吸衰竭，需要机械通气。她通过无创通气成功得到治疗。
然而，无创通气必须由接受过机械通气培训的医护人员进行管理。这对于避免在患者病情恶化并需要气管插管时出现任何延误至关重要。此外，在孕妇中，由于这些患者固有的免疫抑制，病情严重程度可能迅速进展。
对于孕晚期社区获得性肺炎患者，在有创通气和无创通气的选择上应给予特别关注。
