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长期家庭治疗:鼻间歇正压通气联合补充氧气用于重度高碳酸血症慢性阻塞性肺疾病患者

Long-term domiciliary treatment with nasal intermittent positive-pressure ventilation plus supplemental oxygen in COPD with severe hypercapnia.

作者信息

Alfaro V, Torras R, Palacios L, Ibáñez J

机构信息

Department of Physiology, University of Barcelona, Spain.

出版信息

Respiration. 1997;64(1):118-20. doi: 10.1159/000196655.

Abstract

An effective treatment of advanced states of chronic obstructive pulmonary disease (COPD) has yet to be established. We report the case of a COPD patient with severe hypoxemia (pO2 = 32.0 mm Hg) and hypercapnia (pCO2 = 90.0 mm Hg) who was successfully treated for 8 months with nasal intermittent positive-pressure ventilation (NIPPV) plus supplemental O2 in a domiciliary treatment. The reduction of hypoxemia parallel to the alleviation of hypercapnia reversed the patient's continuously declining condition.

摘要

慢性阻塞性肺疾病(COPD)晚期的有效治疗方法尚未确立。我们报告了一例COPD患者,该患者伴有严重低氧血症(pO2 = 32.0 mmHg)和高碳酸血症(pCO2 = 90.0 mmHg),在家中通过鼻间歇正压通气(NIPPV)加补充氧气成功治疗了8个月。低氧血症的减轻与高碳酸血症的缓解同步,扭转了患者持续恶化的病情。

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