经鼻高流量氧疗在成人纤维支气管镜检查中的临床应用
Clinical Application of High Flow Nasal Cannula in Adult Fiberoptic Bronchoscopy Examinations
DOI: 10.12677/acm.2025.1582284, PDF,   
作者: 施梅仙, 武雅莉, 郭祖伶, 李昕玥, 倪 薪*：牡丹江医科大学附属红旗医院呼吸与危重症医学科，黑龙江 牡丹江
关键词: 经鼻高流量氧疗；低氧血症；支气管镜检查；临床工作；High Flow Nasal Cannula； Hypoxemia； Bronchoscopy； Clinical Work
摘要: 支气管镜检查是一种侵入性操作，已广泛用于呼吸系统疾病诊断和治疗过程中，其可能会引起呼吸抑制、低氧血症及血流动力学改变，对于合并慢性阻塞性肺疾病(COPD)、心功能不全或麻醉镇静的患者进行支气管镜检查时风险会进一步增高。与常规鼻导管或面罩吸氧相比，经鼻高流量氧疗(High flow nasal cannula, HFNC)是一种全新的无创辅助呼吸支持氧疗方法，一般应用于临床工作中，具有精确控制吸氧浓度、特定流速、加温加湿等优点。本文通过对HFNC的定义、生理特性及其在成人支气管镜检查中的应用做综述总结，为临床工作提供更好的应用指导。
Abstract: Bronchoscopy is an invasive procedure that has been widely used in the diagnosis and treatment of respiratory diseases. It may cause respiratory depression, hypoxemia, and hemodynamic fluctuations, especially in patients with chronic obstructive pulmonary disease (COPD), those requiring anesthesia and sedation, or those with heart failure, where the risk further increases. High-flow nasal cannula (HFNC) is a novel non-invasive respiratory support oxygen therapy method commonly used in clinical practice. It offers precise control of oxygen concentration, specific flow rates, and temperature and humidity adjustments. This article will review and summarize the definition, physiological characteristics, and application of HFNC in adult bronchoscopy to provide better guidance for clinical work.
文章引用：施梅仙, 武雅莉, 郭祖伶, 李昕玥, 倪薪. 经鼻高流量氧疗在成人纤维支气管镜检查中的临床应用[J]. 临床医学进展, 2025, 15(8): 688-692. https://doi.org/10.12677/acm.2025.1582284

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