应用BiPAP呼吸机长期进行有创通气的尝试  

Application of bilevel positive airway pressure ventilator on the treatment of invasive ventilation

作　　者：单长波[1] 闫庆红[1] 范建新[1] 刘贞[1] 

机构地区：[1]山东省单县中心医院呼吸内科,山东274300

出　　处：《中华肺部疾病杂志（电子版）》2011年第2期98-101,共4页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的报告2例BiPAP无创呼吸机经平台呼气阀与气管切开导管相连接进行机械通气病例,分析应用BiPAP呼吸机进行有创通气的可行性。方法回顾性研究2例呼吸衰竭患者用无创呼吸机经平台呼气阀连接气管切开导管进行机械通气的病例,并复习相关文献。结果运动神经元病患者经气管切开导管使用BiPAP无创呼吸机获得成功,但肺癌患者失败。结论对于需长期机械通气的呼吸衰竭患者,临床情况稳定后采用无创BiPAP呼吸机连接气管切开导管进行机械通气可能是一种安全有效的选择,但并不适合所有的患者。Objective To report two cases of BiPAP non-invasive ventilator connected with the tracheotomy tube through the platform exhalation valve for mechanical ventilation via. To investi- gate the possibility of using BiPAP non-invasive ventilator for mechanical ventilation in a long time for patients. Methods To retrospectively study two cases of respiratory failure patients with BiPAP non-invasive ventilator connected with tracheotomy tube via the platform exhalation valve for mechanical ventilation. We also reviewed the literatures. Results Motor neuron disease patients with BiPAP non-invasive ventilator connected with tracheostomy tube for mechanical ventilation success, but failure in patients with lung cancer. Conclusion For respiratory failure patients who need long-term ventilation support,it may be a safe and effective alternative to use BiPAP non-invasive ventilator for mechanical ventilation via tracheostomy after the disease had been controlled, but it was not suitable for all patients.

关 键 词：BIPAP无创呼吸机 气管切开 有创通气 呼吸衰竭 

分 类 号：R563.8[医药卫生—呼吸系统]