Taipei Medical University Institutional Repository:Item 987654321/3311
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    Title: 手壓式過度充氣技巧應用於居家龐貝氏症患童之成效。
    Authors: 李玉嬋;陳逸榛;吳惠東;江玲玲
    Contributors: 呼吸治療學系
    Date: 2007
    Issue Date: 2009-08-24 11:33:06 (UTC+8)
    Abstract: 大部分的嬰兒型龐貝氏症患者都於一年內死亡,而此患者除了酵素治療外,還有呼吸器支持療法。此個案研究呼吸治療師介入選擇適當的人工甦醒器,並教導其家屬於姿位引流時做手壓式過度充氣法(manual hyperinflation)。經有效清痰2個半月後,其結果爲此病童兩側肺部塌陷及浸潤的變化減少,及於居家型雙期氣道正壓呼吸器設定約爲-FiO2:21%, IPAP:20.5cmH2O EPAP:4.5cmH2O 時,潮氣量由100cc持續增加至250cc;PaO2由53.5 mmHg增加至92.4mmHg PA-aO2由59降至20,PaO2/FiO2由254.8增至440,並能承受9小時/天的自呼時間。有上述生理成效,病童可避免因反覆性肺炎而長期住院;也因爲可以脫離呼吸器,病童及家屬不用受限在家,達到較好的生活品質。所以此病童於姿位引流時做手壓式過度充氣法其長期成效是肯定的,且此技巧於居家是安全的。現在他已經超過三歲了,在世界上所有的嬰兒型龐貝氏患者之中是存活最久的,所以良好的居家呼吸照護對龐貝氏症患者而言是非常重要的。
    Relation: 呼吸治療雜誌(6):57-64.
    Data Type: article
    Appears in Collections:[School of Respiratory Therapy] Periodical Article

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