![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=1739219597-mbj4djX96Xh1qCHMfATCCeFEvZVOxt51-0-b8ff118bf285cc72c1220bad44c7251d)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739219597-BsBnYeS1sL1CGuvj9ASNI0Mcv5GrWzf0-0-f15cdf0631b9a2aca569ff7066b8918e)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739219597-s2ZpJbMiaAPSlWNDIlE32l26lgdVPWPb-0-543a6371ffc118d416f8bb4786a9ee76)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739219597-gWL63ekbffciDChXlhF5XRiKzQzCYeqy-0-690c26f802a75d02b183c58ac990fda4)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739219597-HEA5KwgTpBTu8ivnvrETeWED1l8CgxQQ-0-46b272cdfc19493063fb711fbf38096b)
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=1739219597-nF1coC33xq49ugGSGBS1jAkZdOItZpIT-0-f3cd45989c9e1ef84ee87236a3ee2710)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739219597-8mIqmGPX32tsdR1O8GLDx6kXKok9q8gC-0-f215106775b42cc3f241dcc0655d0cf4)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739219597-FwazXBhw05zS1P3JTJ1JkGsYKoUeU3RO-0-9efc82708e428fda8d85d8eef7e9bccd)