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COVID-19 患者的气管插管时机和 ICU 治疗原则。

The timing of intubation and principles of ICU care in COVID-19.

机构信息

Department of Intensive Care, Ankara City Hospital, University of Health Sciences, Ankara, Turkey

Department of Intensive Care, Gülhane Faculty of Medicine, University of Health Sciences, Ankara, Turkey

出版信息

Turk J Med Sci. 2021 Dec 17;51(SI-1):3340-9. doi: 10.3906/sag-2106-182.

Abstract

Coronavirus disease-19 (COVID-19) has been a serious health problem since it was first identified in Wuhan, China, in December 2019 and has created a global crisis with its economic, sociological, and psychological aspects. Approximately 15% of cases have a severe clinical presentation, and 5% of patients require admission to the intensive care unit. A significant proportion of patients presents with a rapidly progressing acute respiratory failure and require invasive mechanical ventilation. This article aimed to evaluate how the optimal intubation timing should be determined in cases of acute respiratory failure due to COVID-19 and to offer recommendations for basic intensive care support in the light of our current knowledge.

摘要

自 2019 年 12 月在中国武汉首次发现以来,新型冠状病毒病(COVID-19)一直是一个严重的健康问题,并因其经济、社会学和心理学方面而造成全球危机。大约 15%的病例表现为严重的临床症状,5%的患者需要入住重症监护病房。相当一部分患者表现为急性呼吸衰竭迅速进展,需要进行有创机械通气。本文旨在评估在 COVID-19 导致的急性呼吸衰竭的情况下,如何确定最佳的插管时机,并根据我们目前的知识,为基本的重症监护支持提供建议。

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