摘要
无创正压通气(NPPV)现已广泛应用于慢性阻塞性肺疾病急性加重期、急性心源性肺水肿、急性呼吸窘迫综合征等疾病引起的急性呼吸衰竭,并有显著的治疗效果。但在NPPV治疗过程中,常常会出现患者、呼吸机不同步,即人机对抗,致治疗效果欠佳甚至治疗失败。由于人机对抗与NPPV治疗失败相关,因此,在NPPV治疗期间识别和管理人机对抗被认为是重要的临床课题。该文综述了人机对抗的识别、量化及相关的处理措施。
The non-invasive positive pressure ventilation(NPPV)has been widely used in acute respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease,acute cardiogenic pulmonary edema,acute respiratory distress syndrome,etc.,and has significant treatment effect.However,during the course of NPPV treatment,the patient-ventilator out of synch commonly appears,that is,the man-machine confrontation,which resulting in poor therapeutic effect or even treatment failure.Since the human-machine confrontation is correlated with NPPV treatment failure,therefore identifying and managing the man-machine confrontation during NPPV treatment has been considered as an important clinical issue.This paper reviews the identification,quantification and related treatment measures of the human-machine confrontation.
作者
范真
王晓龙
FAN Zhen;WANG Xiaolong(Department of Emergency,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《重庆医学》
CAS
2019年第22期3902-3905,共4页
Chongqing medicine
基金
重庆市科委社会事业与民生保障科技创新专项(cstc2017shmsA0074)
关键词
无创正压通气
人机同步
人机对抗
经食管膈肌电活动
noninvasive positive pressure ventilation
patient-ventilator interaction
patient-ventilator asynchrony
esophageal pressure or diaphragm electrical activity
