![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=1739289354-nYOG3MJDYHaokJq6SBtS9SeNkVq64o0W-0-870c4885c7cbf82c05f7a66d20f8c4a4)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739289354-9kKHiPtzgbxMZRN5NUhvehw8nP6KB33y-0-11ba78095f73578e5620872a35876589)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739289354-iF5s6jUEwMdvHoZHdNeUKqoC4q1UoSIW-0-b8a79c4359f66fd11ca239a5d498cda9)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739289354-tIALhU8Qmix2Inmioe8dua0GTlnxX03m-0-49cd54fd5aec82b60f544ada255a3835)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739289354-XSc0v3yb13iMwhymOoBKkAJCuuwadvPx-0-16e7379663ffcad1db012b972706dd57)
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=1739289354-lkkNJ1F7MQEqLgD6RX3JWmaD3eMhD15z-0-f0f452b765f4c143a18d616416127990)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739289354-ha7LIvc54guB4jkn2LhAyW4tBi9O6PDs-0-559a41b196d2a1e35edbcbb4254ff130)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739289354-rMwvBP7INUWoDz168JQkqLDWSxjeBOa9-0-9d2037987422772aca925a221cb86eeb)