长期高流量鼻插管治疗支气管扩张患者慢性呼吸衰竭。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Ana Isabel Santos, Jessica Cemlyn-Jones, Denny Rodrigues
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引用次数: 0

摘要

高流量鼻插管(HFNC)是一种气体输送系统,以比传统氧气治疗更高的流量提供加热和加湿空气。虽然关于HFNC作为慢性呼吸衰竭长期治疗的研究有限,但大多集中在慢性阻塞性肺疾病患者身上。我们报告了一名患有严重支气管扩张和慢性高碳酸血症性呼吸衰竭的女性,在夜间无创通气(NIV)和24小时常规氧疗下,她经历了多次和长期住院治疗。开始长期日间HFNC,维持夜间NIV,导致呼吸困难的显著改善,更好的分泌管理,恶化率降低。虽然需要更多的研究,但HFNC应被考虑用于支气管扩张患者慢性呼吸衰竭的长期治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-Term High-Flow Nasal Cannula in Chronic Respiratory Failure in a Patient with Bronchiectasis.

High-flow nasal cannula (HFNC) is a gas delivery system that provides heated and humidified air at higher flow rates than conventional oxygen therapy. While studies on the role of HFNC as a long-term treatment for chronic respiratory failure are limited, most of them focus on patients with chronic obstructive pulmonary disease. We present the case of a woman with severe bronchiectasis and chronic hypercapnic respiratory failure under nocturnal non-invasive ventilation (NIV) and 24-hour conventional oxygen therapy, who experienced multiple and prolonged hospital admissions. Long-term daytime HFNC was initiated, maintaining nocturnal NIV, resulting in significant improvements in dyspnea, better secretion management, and a reduction in exacerbation rates. While more research is needed, HFNC should be considered for long-term management of chronic respiratory failure in patients with bronchiectasis.

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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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