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经鼻高流量氧疗联合俯卧位通气成功救治1名新型冠状病毒肺炎重型患者
引用本文:滕海风,谭丽菲,张静,高婧,王艳萍,王明义.经鼻高流量氧疗联合俯卧位通气成功救治1名新型冠状病毒肺炎重型患者[J].中国感染控制杂志,2020,19(7):611-615.
作者姓名:滕海风  谭丽菲  张静  高婧  王艳萍  王明义
作者单位:1. 威海市立医院重症医学科, 山东 威海 264200;2. 威海市立医院感染疾病科, 山东 威海 264200;3. 威海市立医院中心实验室, 山东 威海 264200
摘    要: 回顾性分析1例重型新型冠状病毒肺炎患者成功的救治过程,提示对于新型冠状病毒肺炎患者,发病初期及时给予抗病毒、抗炎等治疗,在氧合下降时及时给予呼吸支持治疗。当出现急性呼吸窘迫综合征氧合指数进行性下降,经鼻高流量氧疗效果不佳时,及早联合俯卧位通气治疗,对提高重症患者救治成功率至关重要,同时可避免机械通气,降低病死率。

关 键 词:新型冠状病毒  新型冠状病毒肺炎  重型  治疗  
收稿时间:2020/3/12 0:00:00

Successful treatment for a severe COVID-19 patient by nasal high-flow oxygen therapy combined with prone position ventilation
TENG Hai-feng,TAN Li-fei,ZHANG Jing,GAO Jing,WANG Yan-ping,WANG Ming-yi.Successful treatment for a severe COVID-19 patient by nasal high-flow oxygen therapy combined with prone position ventilation[J].Chinese Journal of Infection Control,2020,19(7):611-615.
Authors:TENG Hai-feng  TAN Li-fei  ZHANG Jing  GAO Jing  WANG Yan-ping  WANG Ming-yi
Institution:1. Intensive Care Unit, Weihai Municipal Hospital, Weihai 264200, China;2. Department of Infectious Diseases, Weihai Municipal Hospital, Weihai 264200, China;3. Central Laboratory, Weihai Municipal Hospital, Weihai 264200, China
Abstract:Retrospective analysis was performed on the successful treatment of a patient with severe coronavirus disease 2019(COVID-19), suggesting that for COVID-19 patients, antiviral and anti-inflammatory treatment should be given in time at the early stage of onset, and respiratory support treatment should be given in time when oxyge-nation drops. When oxygenation index of acute respiratory distress syndrome decreases progressively and effect of nasal high-flow oxygen therapy is not ideal, early combination of prone position ventilation treatment is crucial to the improvement of successful treatment rate of severe patients, at the same time, it can avoid mechanical ventilation and reduce mortality.
Keywords:severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)|coronavirus disease 2019 (COVID-19)|severe type|treatment
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