经鼻高流量氧疗在急性群发性窒息性气体中毒合并肺大泡治疗中的应用  

Application of nasal high flow oxygen therapy in acute mass asphyxia poisoning with pulmonary bullae

作　　者：许伟[1] 王小红[1] 夏春娟[1] 董靖[1] Xu Wei;Wang Xiaohong;Xia Chunjuan;Dong Jing(Department of Occupational Disease and Toxicology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院职业病与中毒医学科,北京100020

出　　处：《中华劳动卫生职业病杂志》2020年第10期757-759,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的探讨经鼻高流量湿化氧疗治疗急性群发性窒息性气体中毒合并肺大泡患者的观察与护理。方法回顾性分析2019年6月收治的5例经鼻高流量湿化氧疗的急性群发性窒息性气体中毒伴肺大泡患者的护理资料,观察患者的氧合指数、气道湿化、病情转归的情况。结果5例患者均顺利经鼻高流量湿化氧疗后顺利过渡为鼻导管吸氧,均未插管,出院时未吸氧状态下pH:7.36~7.42,PO2:82~106 mmHg,PCO2:32~39 mmHg,白细胞、心肌酶均正常,并无脑部损伤及鼻周皮肤破损和腹胀的发生。结论经鼻高流量湿化氧疗能够有效的提高急性群发性窒息性气体中毒合并肺大泡患者氧疗效果。Objective To explore the observation and nursing of patients with acute mass asphyxia poisoning with pulmonary bullae treated by nasal high-flow humidification and oxygen therapy.Methods Review and summarize the data of 5 patients with acute mass asphyxial gas poisoning with pulmonary vesicles who were admitted to the department of toxicology of this hospital in June 2019 and received nasal high-flow humidification and oxygen therapy.The oxygenation index,airway humidification and prognosis were observed.Results All the 5 patients were successfully transferred to nasal catheter for oxygen inhalation after nasal high-flow humidification and orygen therapy without intubation.When discharged from the hospital without oxygen,pH:7.36-7.42,PO2:82-106 mmHg,PCO2:32-39 mmHg.All the white blood cells and myocardial enzymes were normal,and there was no brain injury,perinasal skin damage and abdominal distension.Conclusion Nasal high-flow humidification and oxygen therapy can effectively improve the efficacy of oxygen therapy for patients with acute mass asphyxial gas poisoning with pulmonary vacuoles.

关 键 词：气体中毒 肺大泡 经鼻高流量湿化氧疗 急性窒息性气体中毒 护理 

分 类 号：R135.1[医药卫生—劳动卫生]