急性呼吸衰竭和慢性阻塞性肺疾病
Acute respiratory failure and chronic obstructive lung disease.
作者信息
Rosen R L
出版信息
Med Clin North Am. 1986 Jul;70(4):895-907. doi: 10.1016/s0025-7125(16)30930-0.
Abstract
Patients with COPD who develop acute respiratory failure require special attention in their management. Patients with severe COPD often have cor pulmonale, complex acid/base compensations, and altered respiratory control mechanisms. These need to be considered when approaching the patient with an acute decompensation. Because of the improving prognosis in this group of patients, aggressive management should be undertaken using combinations of bronchodilator medications, oxygen, bronchial hygiene, and antibiotics.
摘要
发生急性呼吸衰竭的慢性阻塞性肺疾病（COPD）患者在治疗时需要特别关注。重度COPD患者常伴有肺心病、复杂的酸碱代偿以及呼吸控制机制改变。在处理急性失代偿患者时需要考虑这些因素。由于这组患者的预后正在改善，应采用支气管扩张剂、氧气、气道护理和抗生素联合使用的积极治疗方法。
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