结核与肺部疾病杂志 ›› 2022, Vol. 3 ›› Issue (4): 320-324.doi: 10.19983/j.issn.2096-8493.20220014

• 综述 • 上一篇    下一篇

肺结核致呼吸衰竭研究进展

张晓林, 李锋()   

  1. 上海市(复旦大学附属)公共卫生临床中心呼吸与重症医学科,上海 201508
  • 收稿日期:2022-02-10 出版日期:2022-08-20 发布日期:2022-08-16
  • 通信作者: 李锋 E-mail:dr_lif08@126.com
  • 基金资助:
    上海市科学技术委员会项目(21Y11901700);上海市科学技术委员会项目(20Z11901000);上海市公共卫生临床中心院内课题(KY-GW-2020-12)

Research progress of respiratory failure caused by pulmonary tuberculosis

Zhang Xiaolin, Li Feng()   

  1. Department of Respiratory and Critical Care Medicine, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China
  • Received:2022-02-10 Online:2022-08-20 Published:2022-08-16
  • Contact: Li Feng E-mail:dr_lif08@126.com
  • Supported by:
    Project of Shanghai Science and Technology Commission(21Y11901700);Project of Shanghai Science and Technology Commission(20Z11901000);Hospital Project of Shanghai Public Health Clinical Center(KY-GW-2020-12)

摘要:

肺结核破坏肺实质和气道结构,损害肺脏功能,部分患者甚至进展为呼吸衰竭。临床类型以慢性呼吸衰竭为主,急性呼吸衰竭虽少见但大多后果严重。现笔者就肺结核导致呼吸衰竭的研究进展进行综述,重点聚焦于结核感染导致急慢性呼吸衰竭的病理生理变化、呼吸衰竭严重程度的评估,以及个体化呼吸支持技术的实施,为降低病亡率、改善预后并减少医源性肺损伤提供借鉴。

关键词: 结核,肺, 呼吸功能不全, 呼吸,人工, 综述文献(主题)

Abstract:

Pulmonary tuberculosis destroys lung parenchyma and airway structure, damages lung function, and even developed to respiratory failure in some patients. Chronic respiratory failure is the main clinical type. Acute respiratory failure is rare, but most of them lead to serious consequences. The authors review the research progress of respiratory failure caused by pulmonary tuberculosis, focusing on the pathophysiological changes of acute and chronic respiratory failure caused by tuberculosis infection, the evaluation of the severity of respiratory failure, and the implementation of individualized respiratory support technology, to provide reference for reducing mortality, improving prognosis, and reducing iatrogenic lung injury.

Key words: Tuberculosis, pulmonary, Respiratory insufficiency, Respiration, artificial, Review literature as topic

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