肺衰竭怎样治疗

肺衰竭如何治疗配图，仅供参考

1. Pharmacological treatment
Short acting bronchodilators (short-acting inhaled β2-agnosits,with or without short-acting anticholinergics) are recommended as an initial choice to treat an AECOPD . The short acting bronchodilators can be administered using nebulizer or metered dose inhaler (MDI) with spacer. Even though the emitted dose of drug is larger in nebulizer than MDI plus spacer,relative lung deposition of short acting bronchodilator following inhalation in AECOPD is similar in both delivery systems . Long-acting bronchodilators also should be applied as soon as possible in AECOPD.
Systemic steroids is a cornerstone of treating AECOPD and it can improve FEV1,oxygenation,shorten recovery time,and hospital stay. Some data suggested the association between response to corticosteroids and blood eosinophil count . Recently,American Thoracic Society/European Respiratory Society reported updated clinical recommendation for treating AECOPD in terms of six key questions including “Should oral corticosteroids be used to treat ambulatory patients who are having a COPD exacerbation?” . It recommended a short course of oral corticosteroids even for ambulatory patients with AECOPD.
Although the roles of antibiotics in AECOPD have been debated,antibiotics can be used when patients have clinical sings of bacterial infection such as increased sputum and purulence. In a systemic review of placebo-controlled studies,antibiotics reduced short-term mortality,treatment failure,and sputum purulence .","department":"