Management of dyspnea in patients with far-advanced lung disease.
Management of dyspnea in patients with far-advanced lung disease.
复制标题
晚期肺病患者呼吸困难的治疗。
DOI：
10.1001/jama.287.17.2261
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
M. Rabow
中科院分区：
文献类型：
--
作者：
A. Markowitz;M. Rabow
晚期肺病患者呼吸困难的治疗 2001 年 3 月 1 JOHN 和 JUDITH LUCE 医生讨论了重病患者呼吸困难的治疗，介绍了 2 个病例。第一位患者 D 女士是一位 74 岁的白人女性，患有继发于肺气肿的呼吸困难。第二位患者 I 女士是一位 65 岁的白人女性，被诊断患有局限性小细胞肺癌，且癌症中枢神经系统 (CNS) 复发。作者描述了 4 种治疗呼吸困难的策略：降低通气阻抗、减少通气需求、改善呼吸肌功能和改变中枢知觉。他们还建议医生积极鼓励患者及其护理人员讨论接受或放弃机械通气和其他积极治疗等问题，准备预先指示，并参与管理呼吸困难的综合计划。
Management of Dyspnea in Patients With Far-Advanced Lung Disease IN MARCH 2001 1 DRS JOHN AND JUDITH LUCE DISCUSSED THE management of dyspnea in the seriously ill, presenting 2 cases. The first patient, Mrs D, was a 74-year-old white woman with dyspnea secondary to emphysema. The second patient, Mrs I, was a 65-year-old white woman diagnosed with limited-stage small-cell lung cancer and a central nervous system (CNS) recurrence of her cancer. The authors described 4 management strategies for dyspnea: reducing ventilatory impedance, reducing ventilatory demand, improving respiratory muscle function, and altering central perception. They also advised physicians to proactivelyencouragepatientsandtheircaregivers todiscuss issues suchasacceptingor forgoing mechanical ventilationandother aggressive therapies, to prepare advance directives, and to participate in a comprehensive plan to manage their dyspnea.