![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=1739128112-cTbZTM75q0CndmEsGB1jAFQlxoMADv6w-0-6dabdb125927b5a85b5d8f3b058cf595)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739128112-80z6USUxoAyxDaX2CHwUngC8difhlckZ-0-c0ed6b7ad3aa094df55ccc624fa580af)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739128112-At2nbe2qAT4cNqEl9uhjRM0jDyLuirPI-0-e5fe6dac22a1c7fe8dd105e3d072c708)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739128112-u5DRkxwU3MHr9BygP8gcw4Y6A4DpLEp9-0-0e6fab2ac38c6954dc094d6912d87a68)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739128112-45OAqvWZSWxAPext4NHz319FdGpaK1W3-0-49c490b425749c788785ca462fa45e16)
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=1739128112-xuZkYTTLbybiuzJQ16fF0bVHgHHOJAuD-0-9ebfc61ebf7ed93e4d6cf2f7f5de7583)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739128112-m72j6xKZQ0NUR5g3eySZ9uha75AraWvx-0-ebfc79c883cf086909dbaa82461fa5b8)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739128112-aUdm4sPMBuq4l0ocpbIHF7BTOtpE99WG-0-6b8d9c610be17c831883e57acf0deeb5)