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鼻高频振荡通气治疗呼吸道合胞病毒细支气管炎所致呼吸衰竭:病例报告

Nasal High Frequency Oscillatory Ventilation for Respiratory Failure due to Respiratory Syncytial Virus Bronchiolitis: Case Report.

作者信息

Liberatore Pio, Maffei Gianfranco

机构信息

Neonatal Intensive Care Unit, Policlinico Riuniti, Foggia, Italy.

出版信息

AJP Rep. 2020 Jul;10(3):e253-e254. doi: 10.1055/s-0040-1715179. Epub 2020 Aug 27.

Abstract

The authors describe a case of acute respiratory failure due to severe bronchiolitis. During high-flow nasal cannula ventilation, the blood's high levels of hypercapnia had taken them to plan the sedation and the orotracheal intubation. However, before attempting intubation, a nasal high frequency oscillatory ventilation cycle was performed and it led to a marked improvement in the blood gas, avoiding in this way the invasive ventilation.

摘要

作者描述了一例因严重细支气管炎导致的急性呼吸衰竭病例。在高流量鼻导管通气期间,血液中高碳酸血症水平促使他们计划进行镇静和经口气管插管。然而,在尝试插管之前,进行了一个鼻高频振荡通气周期,这使得血气有了显著改善,从而避免了有创通气。

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本文引用的文献

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Respiratory support for infants with bronchiolitis, a narrative review of the literature.
Paediatr Respir Rev. 2019 Apr;30:16-24. doi: 10.1016/j.prrv.2018.10.001. Epub 2018 Oct 11.
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