![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=1739320253-Yi7dNFsmOPSIBFUqDetNu4XK6WKqQSy2-0-55de43a8332f81a99fd24f8a8b6338c2)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739320253-PSBOkjAg3Xh50OpLwXdpcz8f05y5lZUG-0-7ad2f3d902be97c34afc933bb1a91a39)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739320253-ymkPDbJgEFZR7nsn07VOvNgVn6T2rqsM-0-fe4f580d5efda6f1306f3d1dd67fcf12)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739320253-PYFxpu3oBwzKYyRSmKYsFMGyKz7KEiR4-0-544cd341d65480a9f85b230ef61a5475)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739320253-yDpxxdTony5Ja8jm41biOY2CuQq74RHx-0-218d6f241c550e71dbd53726834ad979)
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=1739320253-57qaGyzaUPPydKtufhX6CHorEWZZ9VBo-0-9cb6b83b42252b7c327bfda8fc054c2e)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739320253-bGQXUP5H7bSxKhsqtM2jJLvwSmS51hEG-0-43c5403a8602ac24275aa94295163d22)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739320253-3U6BZz68tej2FYxok9t8jhtKAZAdK64n-0-d5642b256a85dde74c846b3840150a10)