天津医药

天津医药 ›› 2018, Vol. 46 ›› Issue (8): 877-880.doi: 10.11958/20180433

• 临床研究 • 上一篇    下一篇

俯卧位机械通气治疗甲型H1N1重症肺炎一例

刘东， 支永乐， 秦英智   

  1. 天津市第三中心医院， 天津市肝胆疾病研究所， 天津市人工细胞重点实验室， 卫生部人工细胞工程技术研究中心 （邮编300170）
  • 收稿日期:2018-03-21 修回日期:2018-06-07 出版日期:2018-08-15 发布日期:2018-08-23
  • 通讯作者: 秦英智 E-mail:yzh9161@sina.com

A case report of H1N1 severe pneumonia treated with mechanical ventilation in the prone position

LIU Dong， ZHI Yong-le， QIN Ying-zhi   

  1. Tianjin Third Central Hospital, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health Ministry, Tianjin 300170, China
  • Received:2018-03-21 Revised:2018-06-07 Published:2018-08-15 Online:2018-08-23

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摘要：  急性呼吸窘迫综合征 （ARDS） 是由肺内外多种原因导致的以进行性呼吸困难和顽固性低氧血症为特征的急性呼吸衰竭， 目前临床对严重低氧血症患者实施俯卧位 （PP） 通气治疗需观察监测的指标仍有争议。本文通过总结1例甲型H1N1重症肺炎并发重度ARDS患者应用PP通气改善氧合的治疗过程， 以期为临床治疗提供参考。

关键词: 俯卧位, 机械通气, 流感病毒A型, H1N1亚型, 急性呼吸窘迫综合征, 氧合指数

Abstract:  Acute respiratory distress syndrome (ARDS) is an acute respiratory failure characterized by progressive respiratory dyspnea and intractable hypoxemia caused by various causes both inside and outside the lungs. At present, there is still controversy about the monitoring of prone position（PP）ventilation in patients with severe hypoxemia. This article summarized a case of severe ARDS with type A H1N1 severe pneumonia treated with PP ventilation to improve oxygenation, so as to provide reference for clinical treatment.

Key words: prone position, mechanical ventilation, influenza A virus, H1N1 subtype, acute respiratory distress syndrome, oxygenation index