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Acute Hypoxemic Respiratory Failure in Immunocompromised Patients: Taking Aggressive Measures to Identify Etiology

机译:免疫抑制患者急性缺氧呼吸衰竭:采取积极措施识别病因

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Immunocompromised patients often experience pulmonary complications especially acute respiratory failure (ARF) (1–3), the main cause of which is infection (4). To avoid increasing the risk of infection, non-invasive mechanical ventilation (NIV) is recommended as a first line treatment for immunocompromised patients (5, 6). However, recent studies have cast some doubts on the protective effects of NIV as a first-line treatment in immunocompromised patients with ARF (7– 9). Meanwhile, a high-flow nasal cannula (HFNC) may potentially be a better alternative to NIV or standard oxygenation therapy (SOT) in immunocompromised patients due to its unique functions (4), but the results of studies of the effect of HFNC are also obscure (10–12). It has been determined that the identification of ARF etiology in immunocompromised patients currently contributes extensively to the survival rates of these patients.
机译:免疫血肿患者经常经历肺部并发症,尤其是急性呼吸衰竭(ARF)(1-3),其主要原因是感染(4)。 为避免增加感染风险,建议使用非侵入式机械通气(NIV)作为免疫疗效的第一线治疗(5,6)。 然而,最近的研究对NIV的保护作用施放了一些怀疑,作为免疫疗效患者ARF(7-9)的一线治疗。 同时,由于其独特的功能(4),高流量的鼻插管(HFNC)可能是免疫表现患者中的NIV或标准氧合疗法(SOT)的更好的替代品,但是HFNC效果的研究结果也是如此 模糊(10-12)。 已经确定,免疫表情患者ARF病因的鉴定目前促进了这些患者的存活率。

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