Chapter 7 复里呼研斯 Respiratory Failure Bai chunxue Department of Respiratory disease Zhongshan Hospital Fudan University
1 Respiratory Failure Bai Chunxue Department of Respiratory disease Zhongshan Hospital Fudan University Chapter 7 复旦呼研所
Key Words 氯里呼研斯 Respiratory failure Acute respiratory distress syndrome(ARDS) > dyspnea Hypoxemia hypercapnia Respiratory Support Mechanical ventilation Positive end-expiratory pressure(PEEP)
2 Key Words ➢ Respiratory failure ➢ Acute respiratory distress syndrome(ARDS) ➢ dyspnea ➢ Hypoxemia ➢ hypercapnia ➢ Respiratory Support ➢ Mechanical ventilation ➢ Positive end-expiratory pressure (PEEP) 复旦呼研所
Chapter7 复里呼研斯 Respiratory Failure Definition >Type I\ l Respiratory Failure > Centrol\ Non-Centrol Respiratory Failure Acute Chronic Respiratory Failure
3 Respiratory Failure Definition Chapter 7 ➢Type I、II Respiratory Failure ➢Centrol、 Non-Centrol Respiratory Failure ➢Acute & Chronic Respiratory Failure 复旦呼研所
氯里呼研斯 AUTER≡ SPIRATORY FAILUR三 Bai chun Xue Department of Respiratory diseases Zhongshan Hospital
4 ACUTE RESPIRATORY FAILURE Bai Chun-Xue Department of Respiratory diseases Zhongshan Hospital 复旦呼研所
Definition 氯里呼研斯 > respiratory dysfunction resulting in abnormalities of oxygenation or ventilation > impair or threaten the function of vital organs
5 ➢ respiratory dysfunction resulting in abnormalities of oxygenation or ventilation ➢ impair or threaten the function of vital organs Definition 复旦呼研所
Pathogeny 氯里呼研斯 Type I Type ll Parenchyma Airway Edema obstruction Vascular disease Chest wall Pleural Neuromuscular disease disease
6 Type I ➢ Parenchyma ➢ Edema ➢ Vascular disease ➢ Chest Wall & Pleural disease Type II ➢Airway obstruction ➢Neuromuscular disease Pathogeny 复旦呼研所
Clinical Findings 氯里呼研斯 hypoxemia Ventilation Diffusion Perfusion
7 hypoxemia Perfusion Diffusion Ventilation CO2 CO2 O2 O2 Clinical Findings 复旦呼研所
Clinical Findings 氯里呼研斯 hypercapnia Co2
8 PA O 2 P ， ACO 2kPa) （ hypercapnia CO2 O2 Clinical Findings 复旦呼研所
Hypoxemia 氯里呼研斯 cyanosis, restlessness confusion, anxiety, delirium > tachypnea, tachycardia hypertension, cardiac arrhythmias tremor
9 ➢ cyanosis, restlessness ➢ confusion, anxiety, delirium ➢ tachypnea, tachycardia ➢ hypertension, cardiac arrhythmias ➢ tremor Hypoxemia 复旦呼研所
Hypercapnia 氯里呼研斯 > Dyspnea and headache peripheral and conjunctiva hyperemia >hypertension, tachycardia, tachy pnea >impaired consciousness >papilledema, and asterixis
10 ➢ Dyspnea and headache ➢ peripheral and conjunctiva hyperemia ➢ hypertension, tachycardia,tachypnea ➢ impaired consciousness ➢ papilledema, and asterixis Hypercapnia 复旦呼研所