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通过微导管对慢性阻塞性气道疾病所致低氧血症患者进行长期经气管输氧

Long term transtracheal oxygen delivery through microcatheter in patients with hypoxaemia due to chronic obstructive airways disease.

作者信息

Banner N R, Govan J R

出版信息

Br Med J (Clin Res Ed). 1986 Jul 12;293(6539):111-4. doi: 10.1136/bmj.293.6539.111.

DOI:10.1136/bmj.293.6539.111
PMID:3089412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1340846/
Abstract

Transtracheal administration of oxygen is a new technique for long term treatment. Twenty patients with hypoxaemia due to chronic obstructive airways disease were studied while receiving oxygen through a microcatheter inserted percutaneously into the trachea. By bypassing most of the dead space and avoiding oxygen wastage at the face this method of delivery reduced oxygen requirements by roughly half compared with delivery through nasal cannulas, thus reducing costs and facilitating portable treatment. Twelve of these patients continued to use the system for up to 13 months in preference to using nasal cannulas. Two important complications were a staphylococcal infection and a fractured catheter. Transtracheal oxygen reduced breathlessness and helped patients with routine daily activities. Transtracheal administration of oxygen is a practical method of treatment which may have an important role in rehabilitating patients with chronic lung disease.

摘要

经气管给氧是一种用于长期治疗的新技术。对20例因慢性阻塞性气道疾病导致低氧血症的患者进行了研究,这些患者通过经皮插入气管的微导管接受氧气。通过绕过大部分无效腔并避免面部的氧气浪费,这种输送方法与通过鼻导管输送相比,可将氧气需求减少约一半,从而降低成本并便于便携式治疗。其中12例患者继续使用该系统长达13个月,而不愿使用鼻导管。两个重要的并发症是葡萄球菌感染和导管断裂。经气管给氧减轻了呼吸困难,并有助于患者进行日常活动。经气管给氧是一种切实可行的治疗方法,可能在慢性肺病患者的康复中发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7820/1340846/eeedad212c3b/bmjcred00242-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7820/1340846/eeedad212c3b/bmjcred00242-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7820/1340846/eeedad212c3b/bmjcred00242-0026-a.jpg

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本文引用的文献

1
Respiratory rehabilitation with transtracheal oxygen system.经气管给氧系统的呼吸康复治疗
Ann Otol Rhinol Laryngol. 1982 Nov-Dec;91(6 Pt 1):643-7. doi: 10.1177/000348948209100626.
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Long-term oxygen therapy.
Ann Intern Med. 1983 Oct;99(4):519-27. doi: 10.7326/0003-4819-99-4-519.
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Costing new services: long-term domiciliary oxygen therapy.新服务的成本核算:长期家庭氧疗
Lancet. 1981 May 23;1(8230):1146-9. doi: 10.1016/s0140-6736(81)92311-4.
可植入式气管内输氧导管的早期经验
BMJ. 1990 Apr 7;300(6729):909-10. doi: 10.1136/bmj.300.6729.909.
4
Long term continuous domiciliary oxygen therapy by transtracheal catheter.经气管导管长期持续家庭氧疗。
Thorax. 1990 Jun;45(6):478-81. doi: 10.1136/thx.45.6.478.
4
Oxygen relieves breathlessness in "pink puffers".氧气可缓解“红喘型”患者的呼吸困难。
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Thorax. 1985 Nov;40(11):820-4. doi: 10.1136/thx.40.11.820.
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An oxygen conserving nasal cannula.一种氧气节省型鼻导管。
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Portable oxygen and exercise tolerance in patients with chronic hypoxic cor pulmonale.慢性缺氧性肺源性心脏病患者的便携式氧气与运动耐量
Br Med J. 1977 Jul 9;2(6079):84-6. doi: 10.1136/bmj.2.6079.84.