一位慢性阻塞型肺疾患者五年居家非侵襲性正壓通氣之追蹤研究

盛 德芳(Te-Fang Sheng), 曾 媖琴(Ying-Chin Tseng), 何 淑娟(Shun-Chuan Ho), 饒 文琴(Wen-Ching Jao), 李 岡遠(Kang-Yuan Li), 江 玲玲(Ling-Ling Chiang)

Research output: Contribution to journalArticle

Abstract

This is a patient with severe chronic obstructive pulmonary disease (COPD) complicated with sleep disturbance syndrome. Chronic hypercapnic respiratory failure for at least two years was noted when he was referred. Except standard medications for COPD at our outpatient department, the patient received home noninvasive positive pressure ventilation (NIPPV) for five years (from Jun, 2001 to Aug, 2005) and intermittent daytime oxygen therapy. We found significant decreases in PaCO2, HCO3 and BE. The FEV1 (0.53 L/min) did not decline at the fifth year; however, there was a significant increase in exercise tolerance half a year after NIPPV using. Nevertheless, even pulmonary rehabilitation programs at the our patient unit continuing, the condition deteriorated and admitting to the hospital due to secondary infection after three years of nocturnal ventilation. After stopping nocturnal NIPPV for three months in 2005, the patient developed respiratory failure, was intubated and became long-term ventilator dependent. It is therefore suggested that COPD patients complicated with sleep disturbance syndrome and has developed hypercapnic respiratory failure should long-term use nocturnal NIPPV, which has the potential to decrease admission rate and increase functional level of daily activity.
Original languageTraditional Chinese
Pages (from-to)1-13
Number of pages13
Journal呼吸治療
Volume8
Issue number1
DOIs
Publication statusPublished - 2009

Keywords

  • 慢性阻塞型肺疾
  • 非侵襲性正壓通氣
  • 夜間通氣支持
  • 慢性高碳酸呼吸衰竭
  • 睡眠呼吸障礙
  • Chronic obstructive pulmonary disease COPD
  • noninvasive positive pressure ventilation NIPPV
  • nocturnal ventilation
  • chronic hypercapnic respiratory failure
  • sleep disorder breathing

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