幸运飞艇冠亚和谁了解

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慢阻肺制氧机氧疗这些“坑”千万别踩!

发布时间:2018-12-26 12:59:28 发布人:维一佳

【摘要】慢性阻塞性肺疾病(简称“慢阻肺”)患者由于种种原因很容易发生长期缺氧,而缺氧会对机体造成不同程度的危害,慢阻肺用制氧机氧疗和家用呼吸机无创通气治疗是不错的方案,但慢阻肺制氧机氧疗这些“坑”千万别踩!

幸运飞艇冠亚和谁了解  manxingzusaixingfeijibing(jiancheng“manzufei”)huanzheyouyuzhongzhongyuanyinhenrongyifashengzhangqiqueyang,erqueyanghuiduijitizaochengbutongchengdudeweihai,baokuoshifeixueguandezulizengjia、feidongmaigaoya、manxingfeiyuanxingxinzangbing、xinlishuaijie、hongxibaozengduo、xueyenianchoudushenggaoyijiyingyangbuliangdenghouguo。

  这些危害均可加重患者病情,导致住院次数增多,生活质量、生存率降低,因此用制氧机氧疗对慢阻肺患者来说具有非常重要的作用,但在实际应用中,很多人因为认识不足或存在误区,导致过度氧疗而发生多种不良反应和危害却常常毫不自知。

幸运飞艇冠亚和谁了解  yangqiqishirutongyizhongchangyongdeyaowu,duiyangqideyingyongbixuyaozhuyizhenzhuo,yangqibuzuheguoduyangliaoduihuanzhedoushiyizhongshanghai。

  yi manzufeihuanzheyangliaodezhizhenghemubiao

  manzufeiwendingqihuanzhejinxingzhangqijiatingyangliaodejutizhizhengruxia:

  dongmaixueyangfenya(pao2)≤55 mmhghuodongmaixueyangbaohedu(sao2)≤88%,youhuowugaotansuanxuezheng;

幸运飞艇冠亚和谁了解  pao2wei55-60mmhghuosao2<89%,bingyoufeidongmaigaoya、youxinshuaijiehuohongxibaozengduozheng(xuexibaobirong>0.55)。

幸运飞艇冠亚和谁了解  zhangqiyangliaoyibanshijingbidaoguanxiruyangqi,yangliuliang1.0-2.0 l/min,meitianxiyangshijian>15 h。zhangqiyangliaodemubiaoshishihuanzhezaihaipingmianshuipingjingxizhuangtaixiadadaopao2≥60mmhghe(huo)shisao2shengzhi90%,zheiyangcaikeweichizhongyaoqiguandegongneng,baozhengzhouweizuzhideyangqigongying。manxinghuxishuaijiedehuanzhejinxingzhangqiyangliaokeyitigaojingxizhuangtaixiayanzhongdiyangxuezhenghuanzhedeshengcunlv。

  yuwendingqimanzufeihuanzhexiangbi,manzufeijixingjiazhongqi(aecopd)huanzhedeyangliaogengjiapoqiehezhongyao,youqishizhuyuanhuanzhe。

  wuyanzhonghebingzhengdeaecopd huanzhexiyanghouhenrongyidadaomanyideyangheshuiping(pao2 >60 mmhghuosao2>90%),tongchangyisao2zai88%-92%weiyangliaomubiao,ruguobuzhuyikongzhixiruyangnongduerjiyuguogaoyangliao,kedaozhijiajuqianzaideco2 zhuliuhehuxixingsuanzhongdu;

  duiyuyoufanfufashenggaotansuanxuezheng、huxishuaijiedehuanzhe,tuijianzhiliaomubiaoyiqianyicijixingjiazhongbingqingquyuwendingdedongmaixueqifenxijieguoweijichu;

幸运飞艇冠亚和谁了解  duiyuxianqianfashengguogaotansuanxuezheng、huxishuaijiezhe,yuanqianzhiliaokeyong4 l/min、yuanneizhiliaokeyong2-4 l/minbidaoguanjiyang,chushizhiliaomubiaoweisao2zai88%-92%,ruguosao2>92%,yingjishidiaodifio2。

  yangliao30-60fenzhonghouyingfuchadongmaixueqifenxi,yiquerenyanghemanyiqieweiyinqi(huoyougaishan)co2 zhuliuhe(huo)huxixingsuanzhongdu。meiyoutiaojianxingxueqifenxideyiliaojigou(ruxiaoyiyuan、weishengyuan)keyitongguojiancezhimaiyangbaohedu(spo2)laikongzhixingjiyang。

  youzhengjuzhengshi,jiangyangliaomubiaokongzhizaispo2 88%-92%,fashenghuxixingsuanzhongdudejihuigengshao,yuhougenghao。xiyanghouspo2deshangxianzuihaobuying>95%,yinweigaoshuipingxiyangbujinkenenghuizengjiagaotansuanxuezheng、huxixingsuanzhongduheyangzhongdudeweixian,haihuishizhuyuanshijiangengzhang,wuchuangtongqidebiligenggao,huxijiyilaidekenengxinggengda。

幸运飞艇冠亚和谁了解  dajiadouzhidaospo2diyu88%duijitibuhao,danshubuzhidangspo2dadao100%shiqishigengzaogao!cishipao2deshijiceliangzhichaoguo100 mmhg,shenzhigaoda500 mmhg。erdangjitizhangshijianchuyugaoyangzhuangtaishi,huiyinweiyangzhongduerchanshengyixilieweihai,erqiehebinggaotansuanxuezhengdemanzufeihuanzhe,wanquanjiuzhengqueyanghuidailaibingqingehuadefengxian。

幸运飞艇冠亚和谁了解  yinci,guodujiyangyehuidailaiyanzhongdeweihai。heliyangliaodemudebujinjinshiweilegaishanqueyang,tongshiyeyaozhuyibimiankenengdefuzuoyong,bixuyaoyinqizhongshi。

  er manzufeihuanzheyinggaixuanzeshenmexiyangfangshi?

  linchuangchangyongdeyangliaoqijuyoubidaoguan、putongmianzhao、chuyangmianzhao、wenqiulimianzhao、jingbigaoliuliangshihuayideng。manzufeihuanzheyibanduoxuanyongbidaoguanhuowenqiulimianzhao,yekeyichangshicaiyongjingbigaoliuliangshihuayi,qizhongwenqiulimianzhaohejingbigaoliuliangshihuayinenggengjingquedidiaojiexiruyangnongdu。

  ■ bidaoguan

  bidaoguananquanjiandan,buyingxiangjinshihekouqianghuli,danxiyangnongdubuwending,yishouchaoqilianghehuxipinlvdengyinsuyingxiang。

幸运飞艇冠亚和谁了解  ■ putongmianzhaohechuyangmianzhao

  putongmianzhaohechuyangmianzhaoshiyongyuyanzhongqueyangdehuanzhe,danyibanbushiyongyuyuanyouco2zhuliuhuoyichuxianco2zhuliudemanzufeihuanzhe。

  ■ wenqiulimianzhao

幸运飞艇冠亚和谁了解  wenqiulimianzhaoketongshitigongjiaogaoliuliangjijiaojingque、hengdingdeyangnongdu。jiaogaoliuliangdeqitiduimianzhaojikouyanbusiqiangqidaoyidingdechongshuazuoyong,bimianzhongfuxiruco2defengxian;zhunquehengdingdedinongduxiyangyouliyubimianyangfenyaguogaoerjiazhonggaotansuanxuezhenghuanzhedebingqing。yinci,wenqiulimianzhaoshiyongyumanxingzusaixingfeijibinghuanzhe。qiquedianshiduihuanzhedeketanyujinshiyouyidingyingxiang,xiaohaodeyangjiaoduo。

幸运飞艇冠亚和谁了解  lingwai,xuyaotebietixingdeshi,yingyongwenqiulimianzhaoshi,wenqiulifashangdouyoubiaojizhexiangpipeideyangliuliangheyangnongdu,yaoanzhaocibiaojidiaojiezhixiangyingdeyangliuliang。

幸运飞艇冠亚和谁了解  ■ jingbigaoliuliangshihuayangliao

幸运飞艇冠亚和谁了解  jingbigaoliuliangshihuayangliao(hfnc)nenggoutongguoxirugaoliuliangqitichanshengyidingshuipingdehuqimozhengya、chongshuashanghuxidaoshenglisiqiangyijijiangdihuanzheshangqidaozulihehuxigongdengzuoyong,gaishanhuanzhedehuanqihebufentongqigongneng,erqiehaijuyoushihuaxiaoguohao、huanzheshushiduhenaishouxinggao、nengtigongzhunquedeyangnongdudengyoudian。

  duidanchundiyangxinghuxishuaijie(ixinghuxishuaijie)huanzhejuyoujijidezhiliaozuoyong,duibufenqingdudiyanghebinggaotansuanxuezheng(ⅱxinghuxishuaijie)huanzhekenengyejuyouyidingdezhiliaozuoyong。manzufeiwendingqishiyonghfnckejiangdihuanzhedepaco2,meitiandayu7xiaoshichixuyingyonghfncbeizhengshiyouzhuyuyinliuhuanzhedetanye,jianshaomanzufeihuanzhejixingjiazhongpinshu。

  dangaijishujiaoxin,shangxuyaodayangbendelinchuangyanjiuzhengshi,qieqilinchuangyingyongrengxujinyibuwanshanguifan。lingwai,youyuhfncyoukenengchuxianguanlulengningshui,daozhihuanzheqiangkehewuxi,suoyixuyaoyinqizhongshi。

  san yangliaodechangjianwuqu

幸运飞艇冠亚和谁了解  gaoyangliuliang=gaoyangnongdu

  chuleshangshudebuzhuyikongzhixingyangliaowai,henduorenwuyiwei“jiyangliuliangyuegao,xiyangnongduyejiuyuegao”。

  zheiwangwangshiduijiaocaishang“xiyangnongdu=21+4×yangliuliang”zheigegongshidecuowurenshi,qishi,zheigegongshijinshiyongyujingbidaoguanxiyang,bingbushiyongyumianzhaohuoqitaxiyangzhuangzhi,erqiejishishijingbidaoguanxiyang,ruoyangliuliangdadao6 l/minyishang,shangshugongshizebuzaishiyong。huanjuhuashuo,caiyongbidaoguanxiyangshi,xiyangnongduzuigaozhizhinengjiejin45%。

  zaishiyongzhiyangjishiyejingchangyourenfanzheigecuowu。genjuzhiyangjideyuanli,nshengdezhiyangji,tadezuidayangliuliangzhinengdiaozhinshengmeifenzhong,dangdiaojieyangliuliangchaoguozuidayangliuliangshi,yangnongdufanerxiajiang。rushi3ldezhiyangji,yangliuliangdiaozhidayu3 l/minshi,yangnongdufanerxiajiang,bingbuhuiyinweiyangliuliangyuegao,xiyangnongduyejiuyuegao。

幸运飞艇冠亚和谁了解  qishigaoliuliangbudengyugaonongdu,gaonongduyebudengyugaoliuliang。ruwenqiulizhuangzhitigongdeyangliuliangwangwangjiaogao,ranerbingfeiyidingshigaonongdu;shiyongchuyangmianzhaoshi,huanzhexirulegaonongdudeyangqi,danyangliuliangbingbuyidinggao。

  co2zhuliudehuanzhebunenggaonongdujiyang

  dajiadouzhidao,duiyucunzaico2 zhuliudehuanzhe(rumanzufeihebinghuxishuaijie),huxixingfenzhuyaoshiyilaiyudiyangciji,zaigaonongduxiyangshi,keyinyangfenyaxunsushenggao、queyangmingxiangaishanshidiyangcijijianruo,congeryinqihuxiyizhihejiazhongco2 zhuliu,linchuangshangxujingti。

  yinci,henduorenyiweiyiweico2zhuliudehuanzhebunenggaonongdujiyang。qishi,ruguohuanzhegaonongdujiyangxiacaijiangyangfenyatishengzhimanzuweichishengmingdexuyao,neimezaizheizhongzhuangtaixia,jiubixuyaogaonongdujiyang。

  duiyumanzufeihuanzhe,womenzailinchuangshangkegenjuspo2、po2(zhuyi:po2yaobispo2gengkekaodeduo)laidiaojie,yibanyaoqiupo2zaikongzhi60-80 mmhg,spo2kongzhizai88%-92%jike,buyiguogaohuoguodi。dangranle,yeyaozhuyiguanchaph、pco2dedongtaiqingkuang。

  shanghuxijibunengzhangshijiangaonongdujiyang,huifashengyangzhongdu

  shouxian,womenyaozhidaoshenmejiaoyangzhongdu?qishiyinqiyangzhongdudeshiyangfenya,erbushijiyangnongdu。huanjuhuashuo,ruguohuanzhegaonongdujiyangxiacaijiangyangfenyatishengzhimanzuweichishengmingdexuyao,erbushiyangfenyaguogao,zheizhongzhuangtaixia,jishishizhangshijiangaonongdujiyangshikeyide,erqieshibixude,buhuiyincifashengyangzhongdu。

  家用无创呼吸机配以低流量给氧

幸运飞艇冠亚和谁了解  jiatingyongdewuchuanghuxijiheyiyuanyongdewuchuanghuxijibutong,yangyuanwangwangshixuyaolingwaipeibeizhiyangjitigong。yinweimianzhaojuyouco2“zhucunxiaoying”,qiemianzhaoneideyalijiaoda,yibandangxiaoyu5 l/mindeyangliuliangshi,yangqibunenghenhaodejinrumianzhaonei,ziranyejiuwufajindaoqidaohefeinei,tongshiyebunengjianghuqideco2chongchuzhimianzhaowai。lingwai,youyumianzhaoneiqiliulianghenda,jinrudeyangqihaihuibeiyanzhongxishi。

幸运飞艇冠亚和谁了解  yinci,jingzhiyangjijijiayongwuchuanghuxijigongyangshi,diliulianggeiyangbingbunengmanzuxuqiu,qieyingxiangzhiliaoxiaoguo,yangliuliangzhishaoying≥3-5 l/min。tongshixuyaozhuyideshi,ruoshijingzhiyangjijijiayongwuchuanghuxijigongyang,zuihaoxugoumaizhishao>5 ldezhiyangji。

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