小结
鉴别诊断
常见
- 慢性阻塞性肺疾病 (COPD)
- 多叶性肺炎
- 误吸异物
- 药物使用(毒品、酒精、镇静剂、麻醉剂)
- COPD 氧疗
- 中枢神经系统梗死或出血
- 头部创伤
- 中枢神经系统感染
- 肥胖通气不足综合征
- 胸膜腔积液
- 气胸
- 肥胖
- 脊柱后侧凸
- 低钾血症
- 低磷血症
- 机械通气不当
不常见
- 心源性肺水肿
- 急性肺损伤/急性呼吸窘迫综合征
- 肺纤维化
- 哮喘持续状态
- 喉痉挛
- 血管性水肿
- 原发性肺泡通气不足
- 脓胸
- 血胸
- 连枷胸
- 硬皮病
- 强直性脊柱炎
- 纤维胸
- 甲状腺功能减退
- 麻痹剂和有机磷酸盐
- 高位脊髓外伤/病变(C4 以上)
- 吉兰-巴雷综合征
- 多发性硬化
- 重症肌无力
- 肌营养不良症
- 肌萎缩侧索硬化
- 多肌炎与皮肌炎
- 膈神经创伤
- 破伤风
- 肉毒中毒
- 脊髓灰质炎
- 脓毒症
- 发热/恶性高热
- 将 CO₂ 注入体腔(例如腹腔镜手术)
撰稿人
作者
M. Bradley Drummond, MD
Associate Professor
Pulmonary and Critical Care Medicine
University of North Carolina at Chapel Hill
Chapel Hill
NC
利益声明
MBD declares that he has no competing interests.
Eddy Fan, MD, PhD
Associate Professor of Medicine
Interdepartmental Division of Critical Care Medicine
University of Toronto
Toronto General Hospital
Toronto
Canada
利益声明
EF has received fees from MC3 Cardiopulmonary and ALung Technologies.
同行评议者
Guy Soo Hoo, MD, MPH
Director
Intensive Care Unit
West Los Angeles VA Healthcare Center
Clinical Professor of Medicine
Geffen School of Medicine
UCLA
Los Angeles
CA
利益声明
GSH declares that he has no competing interests.
Harman Paintal, MBBS
Division of Pulmonary and Critical Care Medicine
Veterans Affairs Palo Alto Health Care System (VAPAHCS)
Palo Alto
CA
利益声明
HP declares that he has no competing interests.
Patrick J. Neligan, MA, MB BCh, FCARCSI, FJFICM
Consultant in Anaesthesia and Intensive Care
Galway University Hospitals
Senior Lecturer in Anaesthesia
National University of Ireland
Galway Department of Anaesthesia and Intensive Care
University College Hospitals
Galway
Ireland
利益声明
Not disclosed.
指南
- 慢性阻塞性肺疾病诊断、管理和预防的全球策略:2023 年报告
- 德国有创和无创通气治疗慢性呼吸衰竭的国家指南:2017 年修订版
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