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无创正压通气临床应用策略

李怀东,李昕泽   

  1. 解放军第九六医院泰安院区呼吸一科;江苏省高邮市人民医院耳鼻喉科,解放军第九六医院泰安院区呼吸一科;江苏省高邮市人民医院耳鼻喉科
  • 收稿日期:2019-06-13 修回日期:2019-06-27 出版日期:2019-07-25

Clinical Application Strategy of Noninvasive Positive Pressure Ventilation

LI Huaidong and LI Xinze   

  1. The Tai''an branch of the 960th hospital of PLA,Gaoyou People Hospitol, Gaoyou, Jiangsu
  • Received:2019-06-13 Revised:2019-06-27 Online:2019-07-25

摘要: 无创正压通气已经成为急性呼吸衰竭的重要治疗手段。本文针对无创正压通气的常用模式选择,吸气压力值、潮气量、吸氧流速、呼气压力值、压力差值、气道压力波形等参数的设定,人机连接顺序,人机界面装置选择,面罩漏气处理5个方面内容,详细介绍了临床处理策略。

Abstract: Noninvasive positive pressure ventilation has become an important treatment for acute respiratory failure. In this paper, the clinical treatment strategy is introduced in detail in five aspects, including common mode selection; parameter setting such as inspiratory pressure value, tidal volume, oxygen uptake flow velocity, expiratory pressure value, pressure difference value and airway pressure waveform; order of connection in patient-ventilator; the selection of patient-ventilator interaction device and mask leakage management.