摘要
目的通过分析两例呼吸节律异常伴多脏器功能不全高龄老年患者的撤机过程，评价高流量湿化氧疗在特定人群撤机过程中的价值。方法报道高流量湿化氧疗用于两例呼吸节律异常伴多脏器功能不全高龄老年患者的撤机参数及临床过程，并结合相关文献进行讨论。结果两例患者均有高龄、多脏器功能不全、呼吸节律异常等多种困难撤机因素，使用多种撤机模式均未成功脱机，后采用高流量氧疗模式，逐渐增加脱机时间，恢复自主呼吸功能，最后成功脱机。结论高流量湿化氧疗对于保留人工气道、需要呼吸肌肉功能锻炼（长期上机）及呼吸节律异常老年患者的撤机过程有良好的应用前景。
Objective To evaluation the effect of high flow humidification oxygen （HFHO） therapy for two elderly cases with respiratory rhythm abnormalities and multiple organ dysfunction weaning from mechanical ventilation. Methods Clinical features and weaning processes of two elderly cases with respiratory rhythm abnormalities and multiple organ dysfunction were analyzed and the related literature was reviewed. Results Two elderly patients had multiple organ dysfunction, respiratory rhythm abnormalities and other difficult weaning factors. After a variety of unsuccessfully weaning patterns, HFHO was successfully used in helping patients wean from mechanical ventilation, with gradually increasing the time of HFHO and restoring respiratory muscle function. Conclusions For elderly patients with artificial airways, respiratory muscle dysfunction （long-term mechanical ventilation）and/or respiratory rhythm abnormalities, HFHO is a promising weaning method.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2018年第2期167-170,共4页
Chinese Journal of Geriatrics
关键词
通气机
负压
通气机撤除法
Ventilators, negative-pressure
Ventilator weaning
