机械通气有创与无创孰优孰劣（Mechanical ventilation is invasive and noninvasive, which is superior or inferior）.docVIP

机械通气有创与无创孰优孰劣（Mechanical ventilation is invasive and noninvasive, which is superior or inferior） Mechanical ventilation: both invasive and non-invasive, which is superior or inferior? 2011-03-01 Liu Youning 1, the concept of invasive and non-invasive The so-called distinguished record and non-invasive mechanical ventilation, mainly based on the connection mode of ventilator and patients, who need through tracheotomy or tracheal intubation connected with the ventilator is called invasive ventilation, without the establishment of artificial airway can increase the floorboard of a series of methods for alveolar ventilation noninvasive ventilation. Noninvasive ventilation mainly includes mechanical ventilation through nasal mask or nasal mask and ventilator, negative pressure ventilation in vitro, chest wall concussion and diaphragm pacing in vitro. This paper introduces the difference between nasal mask and nasal mask ventilation and invasive ventilation. The non-invasive ventilation referred to in this article only refers to the former. From the above concept, we can see that the so-called invasive and non-invasive ventilation is only a relative distinction, there is no absolute distinction. 2 difference between invasive and non-invasive Because of the different choice of human-computer interface, there are different indications for invasive and non-invasive ventilation. In general, the non-invasive ventilation loop not easily closed, is not easy to accurately adjust the concentration of oxygen inhalation, airway humidification and drainage is not enough, but this method also has some advantages of the invasive ventilation does not have, can be summarized as shown in table 1. Table 1 advantages and disadvantages of noninvasive ventilation compared with invasive Advantages and disadvantages The patient and his family are easy to accept and the air road is difficult to seal It avoids the local trauma and the concentration of oxygen is not easy to adjust accurately Less