Tromans A M, Mecci M, Barrett F H, Ward T A, Grundy D J
Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Wiltshire, UK.
Spinal Cord. 1998 Jul;36(7):481-4. doi: 10.1038/sj.sc.3100676.
In recent years there has been increasing demand on our Intensive Care Unit (ICU) facilities, mainly due to improved resuscitation techniques in the pre-hospital management of spinal cord injury (SCI). This has resulted in an increasing number of high tetraplegic and paraplegic patients with respiratory problems who have survived the initial injury, but have subsequently required ventilatory support, often for several weeks. In view of the continuing pressure on ICU beds and a consequent need for alternative means of providing ventilatory support within the spinal centre rather than within the ICU setting, there was a requirement to provide a simple means of ventilatory support suitable for use within the ward setting. Ventilatory assistance using BiPAP appeared to fulfil these criteria, enabling patients to be managed at reduced cost. We present our experience using this system in 28 acute SCI patients over a 4 year period.
近年来,我们重症监护病房(ICU)的设施需求不断增加,这主要归因于脊髓损伤(SCI)院前管理中复苏技术的改进。这使得越来越多的高位四肢瘫和截瘫患者在最初的损伤中幸存下来,但随后出现呼吸问题,常常需要数周的通气支持。鉴于ICU床位持续面临压力,因此需要在脊髓中心而非ICU环境中提供替代通气支持手段,于是需要一种适合在病房环境中使用的简单通气支持方法。使用双水平气道正压通气(BiPAP)进行通气辅助似乎符合这些标准,能够以更低的成本管理患者。我们介绍了在4年期间对28例急性SCI患者使用该系统的经验。