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Rehabilitation Practice and Science

Translated Title

經鼻正壓呼吸器於支氣管擴張症併發呼吸衰竭患者之使用：病例報告

Abstract

It is not rare for the individuals with bronchiectasis, defining pathologically as a permanently abnormal dilation of subsegmental airways, to develop respiratory insufficiency as respiratory tract infection occurs. In acute stage, intermittent positive pressure ventilation (IPPV) via endotracheal tube is often mandatory to maintain their respiration, but most of them could breathe spontaneously later on. However, there are still a small number of patients remaining ventilator dependent cither totally or incompletely, and requiring tracheostomy even though miscellaneous complications, such as chronic bacterial colonization, disturbance of patient's speech and swallow, decreased cough ability, tracheomalacia, tracheal stenosis, perforation, tracheoesoph-ageal fistula, as well as painful tube changes and psychosocial disturbance, may occur. In order to avoid the inconvenience and complications of tracheostomy in long-term ventilator users, non-invasive IPPV has been introduced as an alternative to ventilate the patients with respiratory failure secondary to neuromuscular disease, but little experience has been reported on those individuals along with parenchymal lung disease.We presented a case with bronchiectasis, suspected central alveolar hypoventilation, and weak-ness of respiratory muscles. He suffered from respiratory insufficiency from recurrent infections and needed ventilatory support. Nasal IPPV(NIPPV) not only relieved his symptoms of hypoventilation, but also avoided the tracheotomy related complications. By the use of NIPPV, the patient was able to attend active rehabilitation program and got improved in his function level as well as life quality.

Language

Traditional Chinese

First Page

99

Last Page

106

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