Bone R C
Med Clin North Am. 1981 May;65(3):563-78. doi: 10.1016/s0025-7125(16)31514-0.
Treatment of respiratory failure in the patient with chronic obstructive lung disease requires the use of a controlled oxygen, treatment of reversible causes of deterioration, and treatment of the associated bronchospasm. Complications such as pulmonary emboli and gastrointestinal bleeding should be avoided by prophylactic therapy. Mechanical ventilation should be avoided if possible. If the patient requires intubation, weaning and extubation should be an orderly transition to spontaneous ventilation. Nutritional support should be stressed during respiratory failure. Finally, as explained in detail in other chapters, a comprehensive outpatient treatment program should be planned prior to discharge from the hospital. A comprehensive approach to management should improve the quality of life and further improve survival in the patient with chronic obstructive lung diseases.
慢性阻塞性肺疾病患者呼吸衰竭的治疗需要使用控制性给氧、治疗病情恶化的可逆性病因以及治疗相关的支气管痉挛。应通过预防性治疗避免肺栓塞和胃肠道出血等并发症。应尽可能避免机械通气。如果患者需要插管，撤机和拔管应是向自主通气的有序过渡。呼吸衰竭期间应强调营养支持。最后，如其他章节详细解释的那样，应在出院前制定全面的门诊治疗方案。综合管理方法应改善慢性阻塞性肺疾病患者的生活质量并进一步提高其生存率。
