COPD合并Ⅱ型呼吸衰竭使用无创通气治疗的护理

COPD combined type Ⅱ respiratory failure using noninvasive ventilation therapy care

慢性阻寨性肺疾病（COPD）合并Ⅱ型呼吸衰竭患者，由于通气障碍，造成缺氧和二氧化碳潴留是其较为突出的病理生理改变，并可由此引起一系列危急患者，蔓命的临床症状和体征。无创通气是通过面（鼻）罩连接呼吸机实施机械通气，能有效地纠正患者缺氧和二氧化碳潴留，岗无需插管建立人工气道，从而避免了有创通气带来的机械损伤、呼吸机相关性肺炎等并发症，因此，近年来在临床上应用越来越广泛。我院2011年8月～2013年8月应用无创通气呼吸机行无创通气治疗COPD合并Ⅱ型呼吸衰竭32例，取得较好的临床效果，

Chronic obstructive pulmonary disease （C（.）PD） patients with type II respiratory failure, due to ventilatory disorder, caused by hypoxia and carbon dioxide retention is the pathophysiology of the prominent change, and thus cause a series of critical patients clinical symptoms and signs of life. Nonin- vasive ventilation via face mask connected to a ventilator （nasal） mechanical ventilation, can effectively correct hypoxia and carbon dioxide retention patients, because of no cannulation to establish artificial airway, thereby avoided invasive mechanical ventilation caused by mechanical damage, ventilator associated pneumonia and other complications, therefore, more and more widely in clinic in recent years. In our hospital from 2011 August to 2013 August application of noninvasive ventilator for noninvasive ventilation in the treatment of COPD with respiratory failure in 32 cases, oblain better clinical result.