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首页> 美国卫生研究院文献>Respiratory Medicine Case Reports >Prone positioning to improve oxygenation and relieve respiratory symptoms in awake spontaneously breathing non-intubated patients with COVID-19 pneumonia
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Prone positioning to improve oxygenation and relieve respiratory symptoms in awake spontaneously breathing non-intubated patients with COVID-19 pneumonia

机译：俯卧位可改善清醒自发呼吸的未插管COVID-19肺炎患者的氧合作用并缓解呼吸道症状

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摘要

Emergency departments are facing an unprecedented challenge in dealing with patients who have coronavirus disease 2019 (COVID-19). The massive number of cases evolving to respiratory failure are leading to a rapid depletion of medical resources such as respiratory support equipment, which is more critical in low- and middle-income countries. In this context, any therapeutic and oxygenation support strategy that conserves medical resources should be welcomed. Prone positioning is a well-known ventilatory support strategy to improve oxygenation levels. Self-proning can be used in the management of selected patients with COVID-19 pneumonia. Here, we describe our experience with two COVID-19-positive patients who were admitted with respiratory failure. The patients were successfully managed with self-proning and noninvasive oxygenation without the need for intubation.
机译：急诊科在面对患有冠状病毒病2019（COVID-19）的患者时面临前所未有的挑战。演变为呼吸衰竭的大量病例导致诸如呼吸支持设备之类的医疗资源迅速枯竭，这在中低收入国家尤为重要。在这种情况下，任何可以节省医疗资源的治疗和充氧支持策略都应受到欢迎。俯卧位是众所周知的通气支持策略，可提高氧合水平。自检可用于某些COVID-19肺炎患者的治疗。在这里，我们描述了两名因呼吸衰竭入院的COVID-19阳性患者的经历。无需插管就可以对患者进行自我检查和无创性供氧，从而成功对其进行治疗。

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