咽氣—閉口鼻—壓腹：簡易且非侵襲性之“正壓通氣法”（宋氏呼吸法）

10.6666/ClinMed.201810_82(4).0105

宋文舉

非侵襲性通氣法(non-invasive ventilation) ； 輔助呼吸(assist ventilation) ； 正壓通氣(positive pressure ventilation) ； 急救呼吸(resuscitative ventilation) ； 咽氧(pharyngeal oxygen, PhO_2) ； 壓腹(abdomen compression)

臨床醫學月刊

82卷4期（2018 / 10 / 26）

574 - 579

繁體中文

咽氧-閉鼻-壓腹(pharyngeal oxygen-nose closure-abdomen compression, PhO2-NC-AC)，操作時無需使用任何傳統醫療器具如甦醒球面罩、喉罩氣道、及氣管內管，可產生輔助呼吸所需之正壓氧氣(positive pressure ventilation and oxygen, PPV-O_2)流，為一種簡易之非侵襲性通氣法(non-invasive ventilation)，其PPV之壓力及速率皆可由操作者自行調控。經20餘年之臨床經驗及發表之研究報告，已確定其可以有效地輔助病人吸氣、吐氣、及循環功能；與傳統的非侵襲性通氣法相比較，「宋氏呼吸法」有諸多優點：單獨執行各單項操作時，皆有輔助呼吸作用，聯合進行時更有加成效果。禁忌症：上氣道及顱底等部位有明顯創傷、骨折，喉部入口或氣管內腔有嚴重狹窄者。此通氣法可適用於不同體重及年齡層的病人，包括進行急救、輔助呼吸、拔除氣管插管、脫離呼吸器、接受複雜之氣管鏡檢查、及氣道相關之介入治療。

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