Mowery Nathan T
Wake Forest Baptist Medical Center, Department of Surgery, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Surg Clin North Am. 2017 Dec;97(6):1381-1397. doi: 10.1016/j.suc.2017.07.006.
The management of the ventilator in patients with chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS) has a dramatic effect on the overall outcome. The incidence of COPD is increasing as the US population grows older. The most effective means to deal with pulmonary complications is to avoid them, but both COPD and ARDS have evidence-based interventions that have been shown to improve outcomes. Pulmonary complications affect up to 40% of patients, and their occurrence is associated with an increased duration of hospital stay, and an increased mortality.
慢性阻塞性肺疾病（COPD）和急性呼吸窘迫综合征（ARDS）患者的呼吸机管理对总体预后有显著影响。随着美国人口老龄化，COPD的发病率在上升。应对肺部并发症最有效的方法是避免其发生，但COPD和ARDS都有循证干预措施，已证明这些措施可改善预后。肺部并发症影响多达40%的患者，其发生与住院时间延长和死亡率增加相关。
