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多个研究指出,呼吸加强监护能显著地影响COPD 急性呼吸衰竭(ARF)病人的存活率.其ARF由COPD 进展及/或急性肺部偶发因素(如支气管感染、痉挛、肺栓塞及/或伴慢性气道阻塞的心衰)所造成。危及生命的情况如呼吸暂停、严重呼吸肌衰竭、或病人临终状态,此时机械通气(MV)所起的作用不予讨论,除此之外,普遍认为尽可能避免应用MV。此因撤离呼吸机和呼吸肌功能方面都有相应的特殊问题,而保守治疗包括控制性氧疗可避免这些问题。然而,威胁生命和缓慢进展的ARF,这两个极端间,MV 的价值和制订MV 准确方针仍有重要争论,对病人的预后也特别有影响。
Multiple studies have shown that intensive respiratory monitoring can significantly affect survival in COPD patients with acute respiratory failure (ARF) whose ARF is associated with COPD progression and / or acute pulmonary complications such as bronchial infections, spasms, pulmonary embolisms and / or companions Chronic airway obstruction of heart failure) caused. Life-threatening conditions such as apnea, severe respiratory muscle failure, or the patient’s dying condition are not discussed at this time. In addition to this, the MV is generally considered to be avoided whenever possible. This is due to evacuating the ventilator and respiratory muscle function has the corresponding special problems, and conservative treatment, including controlled oxygen therapy to avoid these problems. However, there is still considerable debate over the value of MVs and the precise guidelines for MV development between these two extremes, both life-threatening and slow-progressing ARFs, with particular implications for the patient’s prognosis.