長期使用呼吸器腹脹病人接受高壓氧治療成功脫離之經驗

Successful Weaning from Prolonged Mechanical Ventilation in an Abdominal Distension Patient after Receiving Hyperbaric Oxygen Therapy

曾奕菱(Yi-Ling Tseng) ； 邊苗瑛(Mauo-Ying Bien) ； 謝慧觀(Huei-Guan Shie)

《呼吸治療》 7卷1期 (2008/01) Pp. 97-109

https://doi.org/10.6269/JRT.2008.7.1.08

摘要

個案爲長期使用呼吸器腹脹病人，接受高壓氧治療成功脫離呼吸器，個案於台北榮民總醫院呼吸加護病房中，一位九十歲長期使用呼吸器因腹脹嚴重，無法脫離呼吸器病人，腹脹在藥物治療無效後，給予三次高壓氧治療腹脹情況迅速改善，於14天後成功脫離呼吸器。高壓氧治療使病人順利脫離呼吸器，可能和病人腹壓下降與肺部順應性改變有關，未來對於長期使用呼吸器，因腹脹而困難脫離的病人，可考慮接受高壓氧治療，以儘快減輕腹脹成功脫離呼吸器。

關鍵字

高壓氧 ； 脫離 ； 長期使用呼吸器 ； 腹脹

並列摘要

This report focuses on the use of hyperbaric oxygen therapy to assist weaning from prolonged mechanical ventilation in an abdominal distension patient. DESIGN: Case report. SETTING: Respiratory therapy intensive care unit at the Taipei Veterans General Hospital. PATIENT: A 90 y/o male having severe abdominal distension prohibited weaning from prolonged mechanical ventilation. INTERVENTIONS: Initiation of three-time hyperbaric oxygen therapy as the treatment for severe abdominal distension that was unresponsive to the medicine. MEASUREMENTS AND MAIN RESULTS: Once three-time hyperbaric oxygen therapy course was reached, ventilator support was removed within 14 days. CONCLUSIONS: Hyperbaric oxygen therapy was successfully used to facilitate weaning in an abdominal distension patient, possibly reducing abdominal pressure or direct effect on lung compliance. Further investigations of hyperbaric oxygen therapy intervention should be done to inform practice guidelines in difficult-to-wean patients suffering from severe abdominal distension.

並列關鍵字

hyperbaric oxygen therapy ； weaning ； prolonged mechanical ventilation ； abdominal distension