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经鼻高流量氧疗在急危重症领域的临床应用

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Author:: No author available

Journal Title:: Chinese Journal of Emergency Medicine

Issue:: 4

DOI:: 10.3760/cma.j.issn.1671-0282.2018.04.023

Key Word:: No keyword available

Abstract：对于不需要立即接受气管插管的患者时,传统吸氧模式(鼻导管吸氧或面罩吸氧)是最普遍的选择,但存在一些不足之处:吸气流速有限(鼻导管为6～10 L/min,面罩吸氧下最大流速为15 L/min),吸入氧体积分数有限制(30％～50％),以及由于缺乏湿化装置导致部分患者气道干燥,气道分泌物不易排除;此外当输送的氧气流量远低于患者吸气需求流量时,室内空气的混入可导致患者实际吸入氧体积分数明显下降及不恒定,使患者缺氧状态无法短时间内纠正,甚至加重缺氧状态[1-2].

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