经鼻高流量氧疗联合俯卧位通气成功救治1名新型冠状病毒肺炎重型患者  

Successful treatment for a severe COVID-19 patient by nasal high-flow oxygen therapy combined with prone position ventilation

作　　者：滕海风[1] 谭丽菲 张静[2] 高婧[1] 王艳萍[2] 王明义[1,3] TENG Hai-feng;TAN Li-fei;ZHANG Jing;GAO Jing;WANG Yan-ping;WANG Ming-yi(Intensive Care Unit,Weihai Municipal Hospital,Weihai 264200,China;Department of Infectious Diseases,Weihai Municipal Hospital,Weihai 264200,China;Central Laboratory,Weihai Municipal Hospital,Weihai 264200,China)

机构地区：[1]威海市立医院重症医学科,山东威海264200 [2]威海市立医院感染疾病科,山东威海264200 [3]威海市立医院中心实验室,山东威海264200

出　　处：《中国感染控制杂志》2020年第7期611-615,共5页Chinese Journal of Infection Control

摘　　要：回顾性分析1例重型新型冠状病毒肺炎患者成功的救治过程,提示对于新型冠状病毒肺炎患者,发病初期及时给予抗病毒、抗炎等治疗,在氧合下降时及时给予呼吸支持治疗。当出现急性呼吸窘迫综合征氧合指数进行性下降,经鼻高流量氧疗效果不佳时,及早联合俯卧位通气治疗,对提高重症患者救治成功率至关重要,同时可避免机械通气,降低病死率。Retrospective analysis was performed on the successful treatment of a patient with severe coronavirus disease 2019(COVID-19),suggesting that for COVID-19 patients,antiviral and anti-inflammatory treatment should be given in time at the early stage of onset,and respiratory support treatment should be given in time when oxyge-nation drops.When oxygenation index of acute respiratory distress syndrome decreases progressively and effect of nasal high-flow oxygen therapy is not ideal,early combination of prone position ventilation treatment is crucial to the improvement of successful treatment rate of severe patients,at the same time,it can avoid mechanical ventilation and reduce mortality.

关 键 词：新型冠状病毒 新型冠状病毒肺炎 重型 治疗 

分 类 号：R459.6[医药卫生—治疗学] R563.1[医药卫生—临床医学]