Koji 的故事 - 肺炎
无创通气
案例总结
- 66 岁男性，社区获得性肺炎
- 中度慢性阻塞性肺病，既往住院史
- 4 天前开始感觉不适，经医师开具抗生素治疗无效
- 近 2 天出现呼吸困难、咳嗽加重、脓痰增多症状
- 因中度至重度呼吸窘迫而被送往急诊科。 X 光检查发现多叶性肺炎，被送往 ICU
使用场景
- 无创通气
- 每 4-6 小时通过 Aerogen Solo 管路内雾化一次 β 受体激动剂和抗胆碱药物
- 静脉输液、皮质类固醇和抗生素
患者疗效
- 无创通气停止
- 通过 Aerogen Ultra 继续治疗
- 转入病房并出院回家
非基于特定患者，而是代表常见的临床情况。患者治疗方案参考资料：Global Initiative for Chronic Obstructive Lung Disease (GOLD).Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease: http://www.goldcopd.org (Accessed on February 28, 2022).National Institute for Health and Care Excellence (NICE).Chronic obstructive pulmonary disease in over 16s: diagnosis and management (2018). https://www.nice.org.uk/guidance/ng115/chapter/Recommendations#managing-exacerbations-of-copd (Accessed on February 03, 2020).Stanojevic S, Kaminsky DA, Miller M, et al.ERS/ATS technical standard on interpretive strategies for routine lung function tests [published online ahead of print, 2021 Dec 23].Eur Respir J.2021;2101499. doi:10.1183/13993003.01499-2021James K Stoller, MD, MS.COPD Exacerbations.In:Post TW, ed. COPD exacerbations:Management.UpToDate; 2022.Accessed July 11, 2022. https://www.uptodate.com/contents/copd-exacerbations-management
其他故事
