无创通气在间质性肺疾病急性加重期中的应用

IF 0.2 Q4 RESPIRATORY SYSTEM
Naglaa F Ahmed, Amany Abou Zeid, Mai Abo Elhasab, Gihan S. ABO ELWAFA
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引用次数: 1

摘要

无创通气(NIV)已被认为是避免插管和降低并发症风险的一种手段。目的探讨NIV在间质性肺疾病(ILD)患者急性呼吸衰竭中的作用。本研究为前瞻性研究。患者与方法本研究纳入30例无创口罩机械通气患者,基本遵循知情同意、临床资料收集、实验室检查、胸片、动脉血气采集等原则。结果存活患者20例,未存活患者10例。在我们的研究中,最常见的ILD类型是伴有纤维化的过敏性肺炎(占所有患者的53.3%),高分辨率计算机断层扫描中最常见的影像学表现是毛玻璃影,肺功能检查中最常见的是中度限制性模式。感染是加重的主要原因,表现为发热、白细胞总数、工作人员嗜中性粒细胞计数和红细胞沉降率升高。我们的患者没有出现并发症或不耐受NIV。结论氧合参数有改善,因此NIV可能是治疗ILD患者急性I型轻中度呼吸衰竭的一种有价值的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Noninvasive ventilation in acute exacerbation of interstitial lung diseases
Introduction Noninvasive ventilation (NIV) has been recognized as a mean to avoid intubation and to reduce the risk of complications. Aims To study the role of NIV in acute respiratory failure in patients with interstitial lung diseases (ILD). Settings and design This was a prospective study. Patients and methods The present study included 30 mechanically ventilated patients through noninvasive masks subjected basically to informed consent, clinical data collection, laboratory investigations, chest radiograph, and arterial blood gas samples. Results A total of 20 patients were found to be survivors, whereas 10 patients were found to be nonsurvivors. The most common type of ILD in our study was hypersensitivity pneumonitis (53.3% of all patients) with fibrosis, and ground glass opacities were the most common radiological findings on high-resolution computed tomography, and moderate restrictive pattern in pulmonary function tests. Infection was the main cause of exacerbation as evidenced by fever, elevated total leukocytic count, staff neutrophilic count, and erythrocyte sedimentation rate. None of our patients developed complications or intolerance to NIV. Conclusion There was improvement in oxygenation parameters, so NIV could be a valuable option for management of acute type I mild to moderate respiratory failure in patients with ILD.
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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