高流量鼻湿氧治疗在高碳酸血症性呼吸衰竭中的应用

D. Tang, Xiaomei Xue
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引用次数: 0

摘要

高碳酸血症呼吸衰竭是临床上常见的呼吸衰竭类型之一。传统氧疗可以改善氧合,但不可避免地会引起一些并发症。近年来,高流量鼻湿氧(HFNC)治疗作为一种新的有效方法被广泛应用于临床。它利用高速的氧气流量,减少口鼻咽解剖死腔,减少CO2再吸入,呼气末产生正压,增加呼气肺容量,成为高碳酸盐型呼吸衰竭患者的理想选择。本文综述了近年来HFNC治疗高碳酸血症性呼吸衰竭的应用情况。关键词:高流量鼻湿氧治疗;呼吸衰竭;血碳酸过多症
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Application of high-flow nasal humidified oxygen therapy in patients with hypercapnic respiratory failure
Hypercapnia respiratory failure is one of the common types of respiratory failure in clinical practice. Traditional oxygen therapy can improve oxygenation, but may inevitable cause some complications. In recent years, high-flow nasal humidified oxygen (HFNC) therapy has been widely used in clinical setting as a new effective method. It uses high speed of oxygen flow to reduce the anatomical dead space of the mouth, nose and pharynx, reduce CO2 re-inspiration, produce positive pressure at the end of exhalation, increase expiratory lung volume and become the ideal choice of patients with high carbonate type of respiratory failure. This paper reviews the application of HFNC therapy in hypercapnic respiratory failure in recent years. Key words: High-flow nasal humidified oxygen therapy; Respiratory failure; Hypercapnia
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