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机械通气治疗哮喘持续状态是近年来的新方法,我科采用机械通气辅助治疗成功地救治了6例严重哮喘持续状态的患者。首先要取得患者的信任及配合,机械通气过程中应密切观察患者心理状态并做好解释及疏导工作。机械通气的成功与否除了根据病情及血气调整适当的呼吸参数外,还与气道管理紧密相关,气道管理方法包括气道湿化、温化、雾化和正确的吸痰方法。仔细观察呼吸机的运转情况。对报警及时处理。机械通气可能引起气胸、血压下降、心律失常等并发症,应严密观察及时处理。
Mechanical ventilation for the treatment of persistent asthma is a new method in recent years, our department successfully treated with mechanical ventilation assisted treatment of six patients with severe asthma persistent state. First of all, to obtain the trust and cooperation of patients, mechanical ventilation should be closely observed in patients with mental state and make a good explanation and grooming. The success of mechanical ventilation in addition to adjust the appropriate respiratory parameters based on illness and blood gas, but also with airway management are closely related to airway management methods include airway humidification, temperature, atomization and the correct suction method. Carefully observe the operation of the ventilator. Deal with the alarm promptly. Mechanical ventilation may cause pneumothorax, blood pressure, arrhythmia and other complications should be closely observed and dealt with promptly.