![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=1739551726-hfVdPLGBMDyqh4Oa2gm7QcMoCxthkX2g-0-06542a6a9353cc70c6eb4dc15e85b1f5)
表22.2 可能的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_16212.jpg?sign=1739551726-jwy5Kp9QSSpStJTBQKF2htmycFFXot2O-0-8291e9387bd1edeb122b476347b08063)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.2_1_16266.jpg?sign=1739551726-pOFSdwehRRXydz41XzBKHN0calTSmXQu-0-b021eea24e53abb1739db368c78e4130)
表22.3 临床表现和评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.3_16273.jpg?sign=1739551726-SMcbOZqGHXJN7K2Fe9G8ARVRDiY6KzPI-0-901cdf8f1f478bd6ea24dce95c7b43fe)
表22.4 辅助检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.4_59683.jpg?sign=1739551726-Xa1Zej3XpZ1j7F2zwalDjXtTYWE4Yn6o-0-18f4671c353a8b9e1b9ad029c5bd73f3)
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=1739551726-4teHw8rGSqaxb61epTJuTWkepCkvCG4c-0-90e5b0a612fd475f3e04650835d21b49)
表22.6 紧急处理
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_16348.jpg?sign=1739551726-pU8jY8ZRHfb7TqA6UVlEcOVfcTG1E4m1-0-4f453c9a2f61ff51b32a21e379013576)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T22.6_1_16389.jpg?sign=1739551726-OIzgXkbnjfpNKxGQXoeTI3Crvgar9lvx-0-bd0bcda1763c7fbccdb8d16bd5a1112b)