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Home > West Medicine > Internal Medicine > Respiratory Medicine
J96.900

Respiratory Failure

呼吸内科

Common symptoms

上肺纤维化明显、呼吸衰竭、呼吸困难、意识障碍、指甲特大有纵纹...、心脏功能突然失代偿、混合型酸碱平衡紊乱、气急、扑翼样震颤

The pathology of disease

Respiratory failure is inability to maintain adequate gas exchange, classified as type I (hypoxemic: PaO2 <60) or type II (hypercapnic: PaCO2 >50), acute or chronic. Causes: pneumonia/ARDS/PE (type I); COPD/neuromuscular/over-sedation (type II). Treatment: oxygen to target SpO2; treat cause (antibiotics/bronchodilators/anticoagulation/naloxone); NIV (BiPAP/CPAP) for COPD/pulmonary edema; intubation/mechanical ventilation if failing; ICU; monitor ABG/lactate; prevent complications (VAP/PE/ulcer); long-term oxygen/NIV for chronic.

Common Symptoms

Dyspnea; cyanosis; altered mental status; by type I (hypoxemic)/type II (hypercapnic)/acute/chronic

Causes and Pathogenesis

Airway/alveolar/parenchymal/neuromuscular/circulatory causes impair oxygenation/ventilation.

Treatment

Oxygen; treat cause; NIV/intubation if failing; ICU; monitor ABG; chronic oxygen/NIV

Preventive Measures

Treat cardiopulmonary disease; avoid over-sedation; vaccines.

Department to Visit

It is recommended to visit the ICU/Pulmonology-Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.