Alfaro V, Torras R, Palacios L, Ibáñez J
Department of Physiology, University of Barcelona, Spain.
Respiration. 1997;64(1):118-20. doi: 10.1159/000196655.
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.
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。