Application of nasal high flow oxygen therapy in acute mass asphyxia poisoning with pulmonary bullae
10.3760/cma.j.cn121094-20200102-00004
- VernacularTitle:经鼻高流量氧疗在急性群发性窒息性气体中毒合并肺大泡治疗中的应用
- Author:
Wei XU
1
;
Xiaohong WANG
;
Chunjuan XIA
;
Jing DONG
Author Information
1. 100020 北京，首都医科大学附属北京朝阳医院职业病与中毒医学科
- Keywords:
Gas poisoning;
Pulmonary bullae;
Nasal high flow humidification and oxygen therapy;
Acute asphyxial gas poisoning;
Nursing
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2020;38(10):757-759
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the observation and nursing of patients with acute mass asphyxia poisoning with pulmonary bullae treated by nasal high-flow humidification and oxygen therapy.Methods:Review and summarize the data of 5 patients with acute mass asphyxial gas poisoning with pulmonary vesicles who were admitted to the department of toxicology of this hospital in June 2019 and received nasal high-flow humidification and oxygen therapy. The oxygenation index, airway humidification and prognosis were observed.Results:All the 5 patients were successfully transferred to nasal catheter for oxygen inhalation after nasal high-flow humidification and orygen therapy without intubation. When discharged from the hospital without oxygen, pH: 7.36-7.42, PO 2:82-106 mmHg, PCO 2:32-39 mmHg. All the white blood cells and myocardial enzymes were normal, and there was no brain injury, perinasal skin damage and abdominal distension. Conclusion:Nasal high-flow humidification and oxygen therapy can effectively improve the efficacy of oxygen therapy for patients with acute mass asphyxial gas poisoning with pulmonary vacuoles.
