負壓呼吸器應用於肺炎患者治療可行性之病例報告

Feasibility of Negative Pressure Ventilator in Pneumonia Patients: A Case Report

病患為85歲男性歲男性患者，病史有糖尿病、高血壓、主動脈剝離、慢性阻塞性肺病，主因呼吸喘多天，在家使用氧氣，但血氧不穩，故來本院就診；由於患者簽署拒絕心肺復甦術或維生醫療，因呼吸費力先使用非侵襲性面罩型正壓呼吸器，診斷肺炎入住加護病房，但期間痰多、躁動無法配合予以更換非侵襲性負壓呼吸器後續照護。本篇將探討非侵襲性負壓呼吸器應用於肺炎患者治療的可行性，提供臨床人員未來照護經驗的參考。

The patient was an 85-year-old male with a medical history of diabetes mellitus, hypertension, aortic dissection, and chronic obstructive pulmonary disease. His chief complaint was shortness of breath. Despite using home oxygen therapy, his blood oxygen levels remained unstable. Hence, he sought medical attention at our hospital. As the patient signed a form refusing cardiopulmonary resuscitation or any life-sustaining treatment, a noninvasive face mask positive pressure ventilator was first used due to labored breathing. He was diagnosed with pneumonia and admitted to the intensive care unit. However, during this period, he could not cooperate with treatment due to excessive sputum and irritability and was switched to a noninvasive negative pressure ventilator for subsequent care. This case report will examine the feasibility of using noninvasive negative pressure ventilator in pneumonia patients to provide a reference for future care experience by clinical staff.