慢性阻塞性肺疾病急性加重的无创机械通气治疗  

Non-invasive ventilation for acute exacerbation of chronic obstructive pulmonary disease

作　　者：曹志新[1] CAO Zhixin(Department of Respiratory and Critical Care Medicine,Beijing Chao-Yang Hospital,Capital Medical University,Beijing Institute of Respiratory Medicine,Beijing Engineering Research Center of Respiratory and Critical Care Medicine,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院呼吸与危重症医学科,北京市呼吸疾病研究所,北京市呼吸与危重症诊治工程技术研究中心,北京100020

出　　处：《中国临床新医学》2025年第2期125-130,共6页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：北京市科技计划课题(编号:Z201100005520032)。

摘　　要：经过30余年的发展,无创机械通气(NIV)在治疗慢性阻塞性肺疾病急性加重中取得良好效果。NIV已经成为慢性阻塞性肺疾病急性加重的一线机械通气治疗方式。对于已经气管插管行有创机械通气的患者,NIV可以有效辅助有创机械通气安全撤机。未来,如何做好NIV的住院-居家衔接工作,是需要进一步研究的方向。After more than 30 years of development,non-invasive ventilation(NIV)has achieved good results in the treatment of acute exacerbation of chronic obstructive pulmonary disease(COPD).NIV has become the first-line mechanical ventilation treatment for acute exacerbation of COPD.For the patients who have already undergone invasive ventilation with endotracheal intubation,NIV can effectively assist in the safe withdrawal of invasive ventilation.In the future,further research is needed on how to effectively connect NIV between hospitalization and home treatment.

关 键 词：慢性阻塞性肺疾病 急性加重 无创机械通气 呼吸机撤离 

分 类 号：R563[医药卫生—呼吸系统]