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神经肌肉疾病患者无创机械通气的日间替代治疗方法。

Daytime alternatives for non-invasive mechanical ventilation in neuromuscular disorders.

机构信息

Unit of Respiratory Pathophysiology, Monaldi-Cotugno Hospital, Naples, Italy.

出版信息

Acta Myol. 2021 Mar 31;40(1):51-60. doi: 10.36185/2532-1900-042. eCollection 2021 Mar.

Abstract

Mechanical ventilation in recent years has benefited from the development of new techniques and interfaces. These developments allowed clinicians to offer increasingly personalised therapies with the combination of different complementary techniques for treating respiratory insufficiency in patients with neuromuscular diseases. The mouthpiece ventilation, intermittent abdominal pressure ventilator and the negative pressure ventilation can offer many patients alternative therapy options when ventilation is required for many hours a day. In this non-systematic review, we will highlight the use of alternative methods to non-invasive mechanical ventilation at positive pressure in neuromuscular patients, to ensure the optimal interface for each patient.

摘要

近年来,机械通气技术得益于新技术和接口的发展。这些进展使临床医生能够将不同的互补技术相结合,为神经肌肉疾病患者的呼吸功能不全提供越来越个性化的治疗,为需要每天通气数小时的患者提供了多种替代治疗方案。在这种非系统性综述中,我们将重点介绍在神经肌肉疾病患者中使用替代方法来替代正压无创机械通气,以确保为每位患者提供最佳接口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5669/8033425/9b7e140007d4/am-2021-01-51-g001.jpg

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