Greenbaum D M, Millen J E, Eross B, Snyder J V, Grenvik A, Safar P
Chest. 1976 May;69(5):615-20. doi: 10.1378/chest.69.5.615.
Indications for the use of therapy with continuous positive airway pressure (CPAP) in spontaneously breathing patients are increasing in number. The value of this technique without tracheal intubation was investigated in 14 patients with acute respiratory distress. In most patients (eight patients, or 57 percent) the technique was successful, as evidenced by avoidance of the necessity for tracheal intubation and improvements in clinical appearance, arterial oxygen pressure, and chest x-ray films. Complications were observed in three patients, but these necessitated discontinuation of therapy in only one. The use of this technique allows avoidance of endotracheal intubation and mechanical ventilation, with their attendant risks.
对于自主呼吸患者，持续气道正压通气（CPAP）治疗的适应证数量正在增加。对14例急性呼吸窘迫患者研究了这种非气管插管技术的价值。在大多数患者（8例，占57%）中，该技术是成功的，这表现为避免了气管插管的必要性，且临床症状、动脉血氧分压和胸部X光片均有改善。3例患者出现了并发症，但只有1例因此需要停止治疗。使用该技术可避免气管插管和机械通气及其伴随的风险。
