重症呼吸衰竭患者治疗进展  

Research progress in clinical treatment of severe respiratory failure

作　　者：李希[1] 刘黎[1] LI Xi;LIU Li(Department of Respiratory Medicine,West China Hospital Affiliated to Sichuan University,Sichuan,Chengdu 610000,China)

机构地区：[1]四川大学华西医院呼吸内科

出　　处：《河北医药》2019年第20期3168-3172,共5页Hebei Medical Journal

基　　金：四川省科技厅科研课题(编号:17PJ180)

摘　　要：重症呼吸衰竭是临床常见的危重症,是导致患者死亡和残疾的重要原因之一。近年来研究发现,选择合理的呼吸支持技术,能够不同程度降低再插管率,降低呼吸机相关肺炎等并发症发生率,提高患者生存率,改善预后。本文就目前临床上应用比较广泛的几种呼吸支持技术如有创机械通气、无创机械通气、体外后膜肺氧合技术、支气管肺泡灌洗技术以及中西医结合在重症呼吸衰竭治疗中的进展作一综述。Severe respiratory failure is a common clinical critical illness and is one of the important causes of death and disability of patients.In recent years,some studies have found that choosing reasonable respiratory support technology can reduce the incidence rate of reintubation at some extents,reduce the incidence rate of ventilator-associated pneumonia and other complications,and can improve the survival rate and prognosis of patients.This article reviews several widely used respiratory support techniques in clinical practice and the progress of integrated traditional Chinese and Western medicine in the treatment of severe respiratory failure.

关 键 词：重症呼吸衰竭 有创机械通气 无创机械通气 体外膜肺氧合技术 支气管肺泡灌洗技术 肺部感染 

分 类 号：R563.8[医药卫生—呼吸系统]