澹撳姏椤ず瑾ゅ樊锛�0.4cmH2O銆�
瑙哥櫦(f膩)鏂瑰紡锛氬嫊鎱�(t脿i)鍛煎惛杩借工鎶€琛�(sh霉)銆�
鍛兼埃瑙哥櫦(f膩)闈堟晱搴︼細6绱�銆�
鍛煎惛闋荤巼锛�5-50娆�/鍒嗭紝姣忔瑾�(di脿o)绡€(ji茅)卤1娆�/鍒�銆�
鍚稿懠姣旓細鍚告埃鐩稿崰鏁村€嬪懠鍚稿懆鏈熺殑10-80%锛屽彲瑾�(di脿o)銆�
鍚告埃鏂滅巼锛�100ms-600ms,鍙(di脿o)銆�
澶у惛姘ｆ檪闁擄細鈮�3绉�銆�
娼埃閲忥細50-3000ml銆�
鐩�(ji膩n)娓爡(xi脿ng)锛欼PAP銆丒PAP銆佹疆姘ｉ噺銆佸垎閻橀€氭埃閲�銆佸懠鍚搁牷鐜�銆佸惛姘ｆ檪闁�銆佹紡姘ｉ噺銆�
娓鏂瑰紡锛氶潰缃╁収(n猫i)娓銆�
鍫辫鍔熻兘锛氭柗闆诲牨璀�銆佹紡姘ｅ牨璀�銆佷綆娼埃閲忓牨璀�銆佷綆鍒嗛悩閫氭埃閲忓牨璀�銆侀珮澹撳牨璀�銆佺獟鎭牨璀�銆�
鍑辫开娉癴lotonST20绂忛€氶洐姘村钩鍛煎惛姗�(j墨) Floton闆欐按骞冲懠鍚告(j墨)灏堢偤COPD鎮ｈ€呭搴珐瑙ｈō(sh猫)瑷�(j矛)锛岄噰鐢ㄥ痉鍦嬪師瑁濋珮閫熸甫杓浕姗�(j墨)锛屾豢瓒充笉鍚岀▼搴﹀懠琛版偅鑰呯殑绶╄В闇€瑕侊紝F(xi脿n)loton绯诲垪闆欐按骞冲懠鍚告(j墨)宸叉垚鐐哄搴瑿OPD绶╄В鐨勫彲浠ラ伕鎿�銆� ? 瀹屽杽鐨勭珐瑙ｆā寮�锛屾豢瓒充笉鍚岄鍨嬫偅鑰呯殑绶╄В闇€瑕� S20锛欳PAP銆丼 ST20/25/33锛欳PAP銆丼銆丼T銆乀銆丄PCV ? 澹撳姏鑼冨湇锛� S/ST20锛欼PAP锛�4-20cmH2O锛孍PAP锛�4-20cmH2O ST25锛欼PAP锛�4-25cmH2O锛孍PAP锛�4-20cmH2O ST33锛欼PAP锛�4-33cmH2O锛孍PAP锛�4-20cmH2O ? 寰峰湅鍘熻闆绘(j墨)锛屽櫔闊充綆锛屾€ц兘绌�(w臎n)瀹氬彲闈� ? 楂旂⿳灏忓阀锛屼究浜庢敎甯�锛岄噸閲忓儏鐐�1.6kg ? 閲囩敤DRT鍕曟厠(t脿i)鐫＄湢杩借工鎶€琛�(sh霉)锛屽(sh铆)鐝�(xi脿n)瀹岀編鐨勪汉姗�(j墨)鍚屾 ? 鍛煎惛姗�(j墨)閲囩敤杩戠娓鎶€琛�(sh霉)鍜岀簿纰虹殑婕忔埃绠楁硶锛屼繚璀夌珐瑙ｅ鍔涚殑婧�(zh菙n)纰烘€� ? 鎭掓韩涓€楂斿寲鍔犳韩瑷�(sh猫)瑷�(j矛)锛屽姞姘村埢搴﹀拰婧害瑾�(di脿o)绡€(ji茅)闈炲父鏂逛究锛岄噰鐢ㄩ槻姝㈡按鍊掓祦瑷�(sh猫)瑷�(j矛) ? 瀵�(sh铆)鏅傜洠(ji膩n)娓偅鑰呯殑鍛煎惛澹撳姏銆佹疆姘ｉ噺銆佸懠鍚搁牷鐜囦互鍙婃紡姘ｉ噺鏁�(sh霉)鎿�(j霉)锛屾(j墨)鍣ㄤ娇鐢ㄦ洿鍔犲畨鍏ㄥ彲闈犲嫊鎱�(t脿i)鍛煎惛杩借工鎶€琛�(sh霉) 鏅鸿兘鍖栧嫊鎱�(t脿i)鍛煎惛杩借工鎶€琛�(sh霉)鍜屾偅鑰呮瘡娆″懠鍚稿悓姝�锛岃畵鍛煎惛鍊嶆劅鑷劧杓曟澗婕忔埃鍋垫脯鍜岀灛鎱�(t脿i)鍛煎惛鍩虹窔瑾�(di脿o)鏁寸劇鍓�(chu脿ng)閫氭埃鏅�锛岄櫎鎺掓埃闁ユ紡姘ｅ锛岄倓瀛樺湪闈㈢僵鍜屾偅鑰呭彛榧婚儴涓嶅彲閬垮厤鐨勬紡姘ｄ笖娼埃閲忛毃鏅傝畩鍖�銆傚鏋� 涓嶈兘婧�(zh菙n)纰鸿瓨鍒ュ拰纰哄畾娼埃閲忥紝灏变笉鍙兘寰炲京(f霉)闆滅殑婕忔埃涓瓨鍒ユ偅鑰呭懠鍚镐俊铏�銆傚洜姝ゅ揩閫熸簴(zh菙n)纰哄湴杩借工涓嶆柗璁婂寲鐨勬疆姘ｉ噺骞跺強鏅傜⒑瀹氬懠鍚歌Ц鐧�(f膩)鐨勫熀绶氭槸鐒″壍(chu脿ng)鍛煎惛姗�(j墨)鑹ソ浜烘(j墨)鍚屾鐨勬彁鍓�銆侱RT蹇€熺簿纰哄湴杩借工婕忔埃 璁婂寲锛岀灛鏅傝(di脿o)鏁村懠鍚稿熀绶氫互淇濊瓑姣忔鍛煎惛鐨勫畬缇庤Ц鐧�(f膩)銆� 涓夐噸鍚告埃瑙哥櫦(f膩)DRT涓夐噸鍚告埃瑙哥櫦(f膩)纰轰繚鍜屾偅鑰呮瘡娆″懠鍚稿悓姝�銆� 1.娴侀噺瑙哥櫦(f膩)锛氬惛姘ｅ紩璧风殑娴侀噺閬�(d谩)鍒颁竴瀹氶噺鏅�锛屽畬鎴愬惛姘ｈЦ鐧�(f膩)銆� 2.瀹归噺瑙哥櫦(f膩)锛氬惛姘ｇ疮绌嶅绌�3ml鏅�锛屽畬鎴愬惛姘ｈЦ鐧�(f膩)銆� 3.澹撳姏瑙哥櫦(f膩)锛氬湪鍚告埃寮曡捣澹撳姏涓嬮檷0.5-1 cmH2O 鍚屾鍛兼埃瑙哥櫦(f膩)DRT蹇€熺簿纰哄湴鑷嫊杩借工姣忔鍚告埃鐨勫嘲鍊兼祦閫�锛岀暥(d膩ng)宄版祦閫熼檷鍒颁竴瀹氬€煎悗锛屽氨杞�(zhu菐n)鐐哄懠姘�銆傞嚌灏嶄笉鍚屾偅鑰呯殑绶╄В瑕佹眰锛屽彲瑷�(sh猫)缃笉鍚岀殑鍛兼埃瑙哥櫦(f膩)闈堟晱搴�銆�
1. 鍛煎惛姗�(j墨)銆傛湁浜涙偅鑰呭湪瀹跺涵閫�(j矛n)琛屽懠鍚歌〒(x霉n)绶寸殑鏅傚€�锛岄渶瑕佹洿澶х殑娼埃閲忎締婊胯冻閬�(y霉n)鍕曢亷绋嬩腑鍑虹従(xi脿n)鐨勭柌鍕炪€傚湪閬�(y霉n)鍕曢亷绋嬩腑浣跨敤鍛煎惛姗�(j墨)骞姪閫氭埃锛屽彲浠ユ笡灏戞參闃昏偤鎮ｈ€呯殑鍛煎惛鍋氬姛銆佸鍔犲垎閻橀€氭埃閲�锛屽苟涓旀湁鏁堢殑绶╄В鍛煎惛鑲岀柌鍕�锛屽緸鑰屾笡杓曢亱(y霉n)鍕曟檪鐨勬埃鐭櫏鐙€銆佸欢闀烽亱(y霉n)鍕曟檪闁�锛屽鍔犻亱(y霉n)鍕曢噺銆�
2. 姘х檪銆傛參闃昏偤鎮ｈ€呭湪閬�(y霉n)鍕曟檪锛屽彲浠ュ湪鍛煎惛姗�(j墨)姘ｈ矾鎻掍笂姘ф埃绠�锛岄€欐ǎ鍋氳兘绯炬閬�(y霉n)鍕曟€т綆姘ц鐧�锛屾笡灏戠己姘ф€у懠鍚稿仛鍔�锛屼娇鎱㈤樆鑲烘偅鑰呰兘閬�(d谩)鍒版洿楂樼殑瑷�(x霉n)绶村挤(qi谩ng)搴�锛屽鍔犻亱(y霉n)鍕曡€愬姏銆�
3. 鏀埃绠℃摯(ku貌)寮靛姂銆傛敮姘ｇ鎿�(ku貌)寮靛姂鑳芥敼鍠勬參闃昏偤鎮ｈ€呮埃娴佸彈闃伙紝鑰屾豢瓒抽亱(y霉n)鍕曢亷绋嬩腑澧炲姞鐨勯€氭埃闇€瑕�銆�
鎬庝箞妯ｏ紝鏄笉鏄緢绨″柈銆傛偍鍙鍦ㄥ搴悍寰�(f霉)绶╄В鏅傚爡(ji膩n)鎸佷娇鐢ㄥ懠鍚告(j墨)鍔犳哀鐧�锛屽苟浣跨敤鏀埃绠℃摯(ku貌)寮靛姂锛屽悍寰�(f霉)绶╄В鍏跺(sh铆)寰堣紩鏉�!
閲囩敤闆荤闁ユ帶鍒舵妧琛�(sh霉):
1銆佸鍔涗笂鍗囬€熷害闈�?锛熸顑篃鐨囪粚姣ｇ暡绗€夋尃缁�?銆傞€氶亷闆荤闁ュ(sh铆)鐝�(xi脿n)4鈫�30cmH2O澹撳姏鎻愬崌锛屽揩閫熷害鍙仈(d谩)25ms锛屾槸鐩墠涓栫晫涓婂鍔涗笂鍗囧揩鐨勯洐姘村钩鍛煎惛姗�(j墨)銆�
2銆侀浕纾侀枼闁嬮枆杩呴€�?锛熻韩鎲�?y墨ng)娣哄揩鍛煎惛闋荤巼楂橀仈(d谩)60娆℃瘡鍒嗕互涓�锛屼粛鑳戒繚鎸佷汉姗�(j墨)鍚屾銆傛槸鐩墠涓栫晫涓婂懠鍚搁牷鐜囬熆鎳�(y墨ng)蹇殑闆欐按骞冲懠鍚告(j墨)銆�
3銆佹紡姘ｈ(b菙)鍎熷揩?锛熷アp鏉捐(b菙)鍎�60鍗�/鍒嗗ぇ鍕曟厠(t脿i)婕忔埃銆傚彟澶栭浕姗�(j墨)杞�(zhu菐n)閫熸亽瀹�锛岄浕姗�(j墨)纾ㄦ悕灏�锛屽洜鑰屽懠鍚告(j墨)浣跨敤澹藉懡鏇撮暦銆�
鏍稿績鎶€琛�(sh霉)锛�
1.60鍗�/鍒嗗ぇ鍕曟厠(t脿i)婕忔埃鎯呮硜涓嬩粛鑳藉畬缇庡悓姝�銆傛槸鐩墠涓栫晫涓婂ぇ婕忔埃鏅備汉姗�(j墨)鍚屾濂界殑闆欐按骞冲懠鍚告(j墨)銆�
2.鎿嶄綔绨″柈锛氬鍔涖€佹祦閫熼洐娉㈠舰鐩�(ji膩n)娓�銆�
鍔熻兘榻婂叏锛氫簲绋€氭埃妯″紡銆傜洰妯�(bi膩o)娼埃閲忚嚜鍕曞崌闄嶅鍔熻兘銆�
鎿嶄綔绨″柈
涓€閸甸姊姛鑳斤細骞句箮涓嶉渶瑕佸(xu茅)缈�(x铆)锛屽氨鍙互鍦�2-3鍒嗛悩鍏�(n猫i)鎺屾彙鍏ㄩ儴鎿嶄綔銆�
-/gjjcee/-
