Lareng L, Cathala B, Jorda M F, Krempf M, Genestal M
Rev Fr Mal Respir. 1979 Jul-Aug;7(4):383-6.
Results of our study of 91 cases show that many indications of ventilation at home are debatable:--Tracheostomized patients submitted to continuous ventilation with short disconnected periods;--Patients using the respiratory apparatus more than 4--6 hours per day, through a mouth-piece. The existence of a reserve closely related to the intensive care department and mobile emergency unit (S.A.M.U.) facilitates supervision and eventual technical or medical assistance. In addition, the running cost remains small because of the adaptability of the system. However, it seems of interest to point out a group of 11 patients whose treatment was interrupted either because of their improvement (physical therapy, suppression of tobacco mainly), inadequate indications, or poor cooperation.
我们对91例患者的研究结果表明,许多家庭通气指征存在争议:——接受持续通气且断开时间较短的气管切开患者;——每天通过口含器使用呼吸设备超过4至6小时的患者。与重症监护病房和移动急救单元(S.A.M.U.)密切相关的储备力量有助于进行监督以及提供最终的技术或医疗援助。此外,由于该系统的适应性,运行成本仍然较低。然而,值得指出的是,有11例患者的治疗因病情改善(主要是物理治疗、戒烟)、指征不充分或合作不佳而中断。