![急诊临床路径](https://wfqqreader-1252317822.image.myqcloud.com/cover/11/36535011/b_36535011.jpg)
上QQ阅读APP看书,第一时间看更新
22. 机械通气的并发症
概 述
机械通气的并发症包括气压伤、容积伤、萎陷伤和生物伤在内的通气相关性肺损伤、呼吸机相关性肺炎、氧中毒和呼吸机相关的膈肌功能不全等。另外,机械通气对肺外器官功能也会有影响,如引起肾功能不全和消化功能不全、精神障碍以及对心血管系统可能发生低血压、各种心律失常等。以下是机械通气并发症诊治的临床路径。
表22.1 机械通气的并发症
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.1_59682.jpg?sign=1738800115-i82WkNvneMzgzCr3ZfsDofWAp7MSLImM-0-6e43798619da26eeff2c9988b85b22a5)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1738800115-ZsihN91B2fLPCHQyXZ7D8Vrqp3rssiCM-0-3be5b7f3febd4d4835613a517e4b92eb)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1738800115-RrmjFnL1Z39tZ827KAnnMSC2ecQK5ipd-0-bf4cbaef7b008350a168e4d91e17c1d9)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1738800115-S80500LkTAaOnj2hZapU0NM5EHzysMes-0-5eaee603dc0fbc1bb1721e4185acc684)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1738800115-mKA8rce4gVC9Xbz74mFJFngVp1fcH09e-0-4334d0f523b90f0965cec8e293135b08)
表22.5 机械通气患者行纤维支气管镜检查的指征和禁忌证
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.5_16341.jpg?sign=1738800115-Z3qVsQYxwZvXuTOkeQOsK01jO7cZSOx6-0-17c7374fdbcb032aa8f73082f148f3fd)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1738800115-b7tAlZPGaLoqlJRogXjEUxNM2eQB6HsX-0-89c8f9a9215272f6372cdd7f9cf1c5dc)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1738800115-4RAEuQtLHgeoqMsBB9cZxR6J92QiIQOj-0-eb6a25505902501caf1e5f4502d204e5)