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长期采用人工呼吸的病人,由于支气管、气管上皮纤毛运动障碍、咳嗽反射抑制、呼吸肌力低下以及呼吸道分泌物量和粘稠度的增加、痰液排出困难,极易发生弥漫性背侧肺不张。以往采用 PEEP(正性终末呼吸压)等物理疗法进行预防和治疗,其效果不佳;又由于主要发生在重症患者,因而往往带来严重后果。本文作者采用俯卧位对弥漫性肺不张患者进行呼吸道管理,并对其有效性进行了研究探讨。对象与方法作者选择 ICU 病房中7例呼吸功能不全患者(年龄35～62岁,男6例、女1例)为对象,采用俯卧位进行呼吸道管理,其中两例先后两
Long-term use of artificial respiration patients, due to the bronchial, tracheal epithelial ciliary dyskinesia, cough reflex inhibition, respiratory muscle weakness and respiratory secretions and the increase in the amount of viscosity, sputum discharge difficulties, prone to diffuse dorsal atelectasis . In the past, physical therapy such as PEEP (positive end-expiratory pressure) was used for prevention and treatment, which was ineffective and mainly resulted in serious consequences in critically ill patients. The author uses prone position for diffuse atelectasis in patients with respiratory management, and its effectiveness were studied. Subjects and Methods The authors selected 7 patients with respiratory insufficiency (aged 35-62 years, 6 males and 1 females) in the intensive care unit of the ICU as subjects, using prone position for respiratory management, of which two had two