High-flow nasal cannula oxygen therapy for acute exacerbation of interstitial pneumonia: A case series

High-flow nasal cannula oxygen therapy for acute exacerbation of interstitial pneumonia: A case series
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DOI:
10.1016/j.resinv.2015.09.005
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发表时间:
2016-03-01
影响因子:
3.1
通讯作者:
Asano, Koichiro
Asano, Koichiro
中科院分区:
其他
文献类型:
--
作者:
Horio, Yukihiro;Takihara, Takahisa;Asano, Koichiro

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我们报告了3例(均为男性,年龄:69-81岁)间质性肺炎(AEIP)急性加重的病例,采用高流量鼻插管(HFNC)成功治疗,该鼻插管可输送加热的加湿气体,吸入氧气分数(FIO 2)高达1.0(100%)。在非再呼吸面罩下氧合不足;然而,引入FIO 2为0.7-1.0(流速:40 L/min)的HFNC改善了氧合,并且耐受性良好,直到血液中的氧分压/FIO 2比值增加(21 - 26天)。因此,HFNC可能是AEIP管理的有效且耐受性良好的治疗方法。(C)2015日本呼吸学会Elsevier B. V.出版,保留所有权利。
We report 3 cases (all men, age: 69-81 years) of acute exacerbation of interstitial pneumonia (AEIP) that were successfully treated with a high-flow nasal cannula (HFNC), which delivers heated, humidified gas at a fraction of inspired oxygen (FIO2) up to 1.0 (100%). Oxygenation was insufficient under non-rebreathing face masks; however, the introduction of HFNC with an FIO2 of 0.7-1.0 (flow rate: 40 L/min) improved oxygenation and was well-tolerated until the partial pressure of oxygen in blood/FIO2 ratio increased (between 21 and 26 days). Thus, HFNC might be an effective and well-tolerated therapeutic addition to the management of AEIP. (C) 2015 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.