Ambrosino N, Rubini F, Callegari G, Nava S, Fracchia C
Division of Pulmonary Diseases, Medical Center of Montescano, Clinica del Lavoro Foundation, IRCCS, Italy.
Monaldi Arch Chest Dis. 1994 Sep;49(4):311-4.
Patients that have undergone lung and heart-lung transplantation may contract severe respiratory infections, often leading to acute respiratory failure requiring mechanical ventilation. Endotracheal intubation may induce infectious complications of the respiratory tract, which can be avoided by noninvasive modes of ventilation. We describe the use of noninvasive modes of ventilation in three cases of acute respiratory failure induced by infectious complication of lung and heart-lung transplantation. In two cases endotracheal intubation was avoided and treatment was successful.
接受过肺移植和心肺移植的患者可能会感染严重的呼吸道感染,常常导致需要机械通气的急性呼吸衰竭。气管插管可能会引发呼吸道感染并发症,而无创通气模式可以避免这种情况。我们描述了在三例因肺移植和心肺移植感染并发症导致急性呼吸衰竭的病例中使用无创通气模式的情况。其中两例避免了气管插管,治疗取得成功。