On the clinical treatment of acute respiratory failure.docVIP

 PAGE \* MERGEFORMAT 9 On the clinical treatment of acute respiratory failure [Keywords:] the clinical treatment of respiratory failure Respiratory failure (respiratory failure) refers to a variety of causes lung ventilation and (or) ventilatory serious obstacles to the body in the resting state can not maintain effective gas exchange, leading to hypoxia with (or without ) of carbon dioxide retention. to produce a series of pathophysiological changes and corresponding clinical manifestations of a syndrome. Arterial blood gas analysis is often the standard for the diagnosis of respiratory failure, which at sea level atmospheric pressure (760mmHg), resting breathing Anatomy of the air and split within the heart than other factors, arterial partial pressure of oxygen (PaO2) lt;8.0kPa (60mmHg), or accompanied by carbon dioxide partial pressure (PaCO2)gt; 6.67kPa (50mmHg), as a respiratory failure (referred to as respiratory failure ) standards. acute respiratory failure is the patients had normal respiratory function, since the rapid development of various diseases or precipitating cause, such as obstructive airway disease, lung disease, pulmonary vascular disease, drowning, electric shock, trauma, drug toxicity, inhalation of toxic gases and nerve and neuromuscular disorders, inhibition of respiration, gas exchange in a short time a serious obstacle, resulting in hypoxia or combined CO2 retention, sudden respiratory failure, the body time to compensate, if not timely diagnosis and early effective be rescued, often life-threatening. (A) to maintain airway patency During oxygen therapy and improve the ventilation function before, need to take various measures to keep the airway open. First of all exports to clear or smoke cavity, nasal cavity, excessive throat secretions and stomach reflux material, to prevent reflux to vomit trachea. For phlegm, sputum viscosity, but the mind is still clear who should be encouraged to cough, to help beat back, stand u