氧疗与呼吸衰竭（Oxygen therapy and respiratory failure）.docVIP

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氧疗与呼吸衰竭（Oxygen therapy and respiratory failure）.doc

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氧疗与呼吸衰竭（Oxygen therapy and respiratory failure）

氧疗与呼吸衰竭（Oxygen therapy and respiratory failure） Oxygen therapy Oxygen therapy refers to the supply of sufficient oxygen in patients, improve arterial oxygen content and saturation, improve tissue hypoxia, promote the metabolism of new towns, and maintain a collective declaration of activity as a treatment measure. Indications 1, various types of respiratory failure, hypoxemia, high fever, trauma, such as hypoxia and aerobic increased state. 2 cardiovascular diseases, such as cardiac arrest and resuscitation, heart failure, type of myocardial infarction, etc. 3 oxygen transport dysfunction such as severe anemia, abnormal hemoglobin (such as carbon monoxide poisoning, stokvis etc.) 4 shock caused by various causes 5 serious acid base poisoning, water and electrolyte disorders 6 drug poisoning, such as morphine, barbiturates, anesthetics, cyanide poisoning and so on 7, other coma patients (such as acute cerebrovascular outside) surgery major surgery, beginner, extension of labor, fetal heart sound is weak 93 operation points According to the hypoxia and no carbon dioxide slip, the appropriate choice of the following measures 1 the oxygen concentration in the inhaled oxygen in uncontrolled oxygen therapy is not strictly controlled. This method is used in patients with no ventilation disorders (1) nasal catheter method: suitable for mild and respiratory failure recovery patients, coma patients, there are 3 methods: (1) nasal catheter method: 2, ear type bilateral nasal catheter, 3 nasal obstruction to oxygen (2) mask method: Fengkai style and airtight type two kinds. The effect of airtight mask is better, and under the leak proof condition, the oxygen flow rate is 6L/MIN. The concentration of inhaled oxygen is up to 60%~80%. It is suitable for patients who need high concentration oxygen therapy and sober cooperation. Only patients who need short-term intermittent application should be prevented from flatulence when the mask is under pressure (3) itch account method: used