无创正压通气急诊临床实践专家共识（2018）

doi:10.3969/j.issn.1002-1949.2019.01.001

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摘要无创正压通气（non-invasive positive pressure ventilation， NIPPV）是指不需要侵入性或有创性的气管插管或气管切开，只是通过鼻罩、口鼻罩、全面罩、或头罩等方式将患者与呼吸机相连接进行正压辅助通气的技术。近30年来，随着对NIPPV的临床研究与实践不断深入，不仅证实NIPPV疗效确切，可提高患者存活率，避免有创机械通气所带来的一系列并发症，降低治疗成本，而且易于实施并被患者所接受，已成为呼吸衰竭等病理生理状态早期及紧急情况下的通气支持手段。基于无创通气技术应用的日趋广泛，尤其与其他专科相比，NIPPV在急诊医学领域具有更广泛的临床适应证，中国医师协会急诊医师分会、中国医疗保健国际交流促进会急诊急救分会、国家卫生健康委员会能力建设与继续教育中心急诊学专家委员会共同组织专家讨论、制定《无创正压通气急诊临床实践专家共识（2018）》，以期为急诊医护人员提供理论与实践指导，进一步提高NIPPV临床应用的水平。

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	中国医师协会急诊医师分会
	中国医疗保健国际交流促进会急诊急救分会
	国家卫生健康委员会能力建设与继续教育中心急诊学专家委员会

通讯作者: 张新超（北京医院国家老年医学中心，E-mail：xinchaoz@163.com）；钱传云（昆明医科大学第一附属医院，E-mail：qianchuanyun@126.com）；张劲农（华中科技大学附属协和医院，E-mail：zjnwhhb@163.com）；于学忠（北京协和医院，E-mail：yxz@pumch.cn）

引用本文:

中国医师协会急诊医师分会，中国医疗保健国际交流促进会急诊急救分会，国家卫生健康委员会能力建设与继续教育中心急诊学专家委员会. 无创正压通气急诊临床实践专家共识（2018）[J]. 中国急救医学, 2019, 39(1): 1-11.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.01.001 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I1/1

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