![急诊临床路径](https://wfqqreader-1252317822.image.myqcloud.com/cover/11/36535011/b_36535011.jpg)
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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=1739587290-DMgx7FNVnrMNOL7uznIdz36tFlXz9E9p-0-a3675eb83a15c15d7e3c6e5ac8f7ce48)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739587290-oTR6ICB7LFGKUegG1PRC80tzPYK1kljL-0-93c0bf6a911cee820efd20a61b02527c)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739587290-EQgra47TMztLau4U79yqnWpPTWQNBqlx-0-d27461921cbee6d8002dc5671dc5a7da)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739587290-OA2A36B4kRp6VKvKKAE5cSacEg9lmYr2-0-d92ecb12823c430f371b51f6cdcd2fe1)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739587290-Hoi82Z79DfUBiPveLIVUUBjaCWHaKWzU-0-93754d8a52cc6e4efac5713a8f45dfcf)
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=1739587290-cpCE65Lq4dNZvdz7ECj8PjvwcrMxjvqK-0-2b3996b9f59d53213c8f5fea55bfa460)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739587290-qjWjnW5WKz0loX9KOwP9060sUXeww66s-0-c87100db695da308654e6c409648e922)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739587290-DkO6K6yq7RMkfnGRKZnFkBPbY97b5k61-0-ce79a485ec666f1c5f052e551e2ec4c3)