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慢性气流受限患者使用氧气驱动雾化器进行吸入治疗时的急性二氧化碳麻醉

Acute carbon dioxide narcosis during inhalational therapy with oxygen powered nebulizers in patients with chronic airflow limitation.

作者信息

Lim T K, Tan W C

出版信息

Ann Acad Med Singap. 1985 Jul;14(3):439-41.

PMID:4073810
Abstract

Six patients with acute carbon dioxide narcosis following nebulised salbutamol therapy were described. They had chronic obstructive airflow disease and were admitted in acute respiratory failure. The patients were treated with aerosolized salbutamol delivered from oxygen powered nebulizers. They developed severe acute hypercapnia. Five of the six patients died. The hazards of indiscriminate oxygen use in this clinical situation was discussed.

摘要

本文描述了6例雾化吸入沙丁胺醇治疗后发生急性二氧化碳麻醉的患者。他们患有慢性阻塞性气道疾病,因急性呼吸衰竭入院。这些患者接受了氧气驱动雾化器输送的雾化沙丁胺醇治疗。他们出现了严重的急性高碳酸血症。6例患者中有5例死亡。文中讨论了在这种临床情况下不加区分使用氧气的危害。

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