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頁籤選單縮合
題名 | 手術後呼吸衰竭的機轉與處置=The Mechanisms of Postoperative Respiratory Failure and Its Management |
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作者 | 侯清正; 鄭高珍; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 4:4 2002.10[民91.10] |
頁次 | 頁279-286 |
分類號 | 416.284 |
關鍵詞 | 手術後; 呼吸衰竭; 呼吸器; 呼吸器斷離; Postoperative; Respiratory failure; Ventilator; Weaning; |
語文 | 中文(Chinese) |
中文摘要 | 術後肺部的併發症並不比心臟的併發症少,仔細的術前評估與預防措施如:術前戒菸八週、治療呼吸道感染與阻塞、選擇區域麻醉、腹腔鏡手術、積極的術後止痛、儘早下床活動或半坐姿等,可有效降低併發症的發生。了解麻醉與手術對呼吸力學的影響和術後呼吸衰竭的機轉,並針對其致病機轉予以治療是處置的重點。順應性支持的呼吸器模式,在肺功能較正常的病患可加速呼吸器的斷離。非侵襲性呼吸器可減少插管比例並降低死亡率。但術後呼吸衰竭處置的重點是病人,不是呼吸器。 |
英文摘要 | Clinically significant postoperative pulmonary complications are as common as postoperative cardiac complications. Systemic preoperative assessment and preventive management; such as cessation of smoking for 8 weeks, treating respiratory infection and airflow obstruction, selection of regional anesthesia and laparoscopic surgery, aggressive pain control and early ambulation etc.; could reduce postoperative pulmonary complications. Realization the underlying mechanisms of respiratory failure and the detrimental effects of anesthesia and surgical procedures on pulmonary mechanics are key elements on managing postoperative respiratory failure. Adaptive support ventilation (ASV) may accelerate weaning of ventilator in patients with relative normal pulmonary function and non-invasive ventilator may reduce intubation rate and improve survival in patients after lung resection. However, the most important point is treating the patient not ventilator. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。