Khan F A, Chitkara R K
Postgrad Med. 1986 Jan;79(1):205-14. doi: 10.1080/00325481.1986.11699247.
Many complications can occur during the management of acute respiratory failure and may involve multiple organs. Some of these complications can be avoided by preventive measures. We find evaluation of serial chest roentgenograms extremely useful for the early detection of several complications (figure 4). In addition, prophylactic use of heparin to prevent pulmonary emboli, prophylactic antacid or cimetidine therapy to prevent gastric bleeding, careful monitoring of renal function, appropriate measures to reduce the incidence of colonization and nosocomial infection, and early recognition of nosocomial infections are some of the measures essential to increased survival of patients with acute respiratory failure.
急性呼吸衰竭的治疗过程中可能会出现许多并发症，且可能累及多个器官。其中一些并发症可通过预防措施避免。我们发现连续胸部X线片评估对早期发现几种并发症极为有用（图4）。此外，预防性使用肝素以预防肺栓塞、预防性使用抗酸剂或西咪替丁以预防胃出血、仔细监测肾功能、采取适当措施降低定植和医院感染的发生率以及早期识别医院感染，这些都是提高急性呼吸衰竭患者生存率的关键措施。
