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題 名 | 重症懷孕患者之呼吸照護=Respiratory Care of a Pregnant Woman with Respiratory Failure: A Case Report and Review of Literature |
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作 者 | 陳美黛; 葉育彰; 郭炳宏; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 14:2 2015.07[民104.07] |
頁 次 | 頁15-27 |
分類號 | 419.73 |
關鍵詞 | 懷孕; 呼吸衰竭; 呼吸照護; Pregnancy; Respiratory failure; Respiratory care; |
語 文 | 中文(Chinese) |
中文摘要 | 懷孕引發一連串解剖生理的變化,包括:循環與呼吸系統,以應付母體與胎兒之成長需求。重症懷孕患者臨床個案數罕見,呼吸衰竭為懷孕患者接受加護病房照護的主要原因之一,其致病因素分兩大類:懷孕與非懷孕相關。早期診斷其致病因素並施予適當的醫療處置對此類懷孕患者至為重要。然而,懷孕患者合併呼吸衰竭的相關文獻研究缺乏,臨床處置仍多半遵循非懷孕者的照護模式。但不可否認地,此類病患具有其獨特性,如上呼吸道腫脹及充血、高氧氣需求量、高腹內壓等。本文簡述一臨床案例,利用文獻回顧方式,深入探討懷孕造成的肺部變化及相關呼吸照護處置,包括:人工氣道的放置、呼吸器的設定、鎮定麻醉劑的投予、多科別醫療團隊準備計畫性生產或終止妊娠,以追求母體與胎兒的最佳利益。 |
英文摘要 | Pregnancy induces a series of anatomical and physiological changes, including circulatory and respiratory systems, to compensate mother and fetus's demands. The critical pregnant patients are rare. According to literatures, respiratory failure is the major reason for pregnant woman's ICU admission. The etiology of respiratory failure in pregnant women can be divided into two categories: pregnancy and non-pregnancy related. Early diagnosis of respiratory failure and adequate management should be overemphasized. However, the researches upon pregnant women with respiratory failure remain limited. Often pregnant patients are managed similar as non-pregnant patients. The unique features of these patients include upper airway swelling and congestion, higher oxygenation need, and higher intra-abdominal pressure. This paper will review the physiological pulmonary changes of pregnancy and the respiratory care related to pregnant patients, including the placement of artificial airway, ventilator managements, anesthesia, and sedation agents. Pursuing the optimal outcome to the mother and fetus, and preparing for delivery or termination of pregnancy require multi-disciplinary teamwork. |
本系統中英文摘要資訊取自各篇刊載內容。