无创机械通气治疗COPD合并Ⅱ型呼吸衰竭失败原因分析

目的：分析无创机械通气治疗COPD（慢性阻塞性肺疾病）合并Ⅱ型呼吸衰竭失败的原因，为更安全、更有效地使用无创通气。方法：对本院26例COPD（慢性阻塞性肺疾病）合并Ⅱ型呼吸衰竭使用无创机械通气的原因进行回顾性分析。结果：低氧血症和高碳酸血症不能得到纠正或加重15例；不能耐受者5例；胃肠胀气4例；漏气量大2例。结论：掌握好适应证及禁忌证，在与患者及家属建立良好沟通的基础上，治疗过程严密观察和动态调节参数是提高无创通气成功率的关键。

Noninvasive Mechanical Ventilation in COPD Patients with Type H Respiratory Failure Failure Analysis

Objective： To analyze the non-invasive mechanical ventilation in treatment of COPD （ chronic obstructive pulmonary disease ） to merge the reasons for the failure of U -type respiratory failure, is safer, more effective use of non-invasive ventilation. Method： 26 cases of hospital COPD （ chronic obstructive pulmonary disease ） Consolidated II type respiratory failure requiring noninvasive mechanical ventilation retrospective analysis. Result： Hypoxemia and hypercapnia can not be corrected or aggravate 15 cases; five cases can not be tolerated; flatulence; to leak large two cases. Conclusion： Indications and contraindications, and establish good communication with patients and their families on the basis of the treatment process closely observed and dynamically adjust the parameter is the key to improve the non-lnvasive ventilation success rate.