Can chronic respiratory failure be completely cured?

Respiratory failure can be divided into acute respiratory failure and chronic respiratory failure according to the rapid and slow onset of respiratory failure, ** depending on the condition, as follows:

1. Acute respiratory failure is often the patient's original physical condition and no underlying diseases, and acute respiratory failure occurs in the case of severe pneumonia or severe pneumothorax. If the primary disease is controlled, such as severe pneumonia and pneumothorax, acute respiratory failure can be completely controlled;

2. Chronic respiratory failure combined with chronic underlying diseases, such as chronic obstructive pulmonary disease, asthma, bronchiectasis. This kind of chronic respiratory failure can also be repeatedly aggravated as long as the chronic disease is reversing. For example, after a patient with COPD suffers a cold in winter and spring, COPD worsens, or is combined with pneumonia or infection, and respiratory failure will reverse.

Therefore, respiratory failure based on chronic diseases cannot be treated because the primary disease itself cannot be cured. The common causes of acute respiratory failure include respiratory diseases such as drowning and large-scale pneumonia, or neuralgia, such as massive cerebral infarction, massive cerebral hemorrhage, etc., which may cause respiratory failure. For patients with drowning and extensive pneumonia, the lung infection has been well controlled and can be cured.

Neurological diseases, if well controlled, can lead to respiratory failure. Chronic respiratory failure, such as in patients with chronic obstructive pulmonary disease, or in patients with interstitial lung disease with respiratory failure.

Chronic respiratory failure is often difficult. Chronic respiratory failure is accompanied by other chronic diseases and allergies, and chronic respiratory failure can only be achieved after other chronic diseases. Therefore, chronic respiratory failure is targeted and treated according to the quality of respiratory failure.

People with chronic respiratory failure also need to take precautions in their daily lives.

The principle of chronic respiratory failure is to keep the airway open, the primary disease. **Methods mainly include oxygen therapy, mechanical ventilation, anti-infection, correction of acid-base imbalance and ** primary disease, etc., and a small number of patients with severe disease may need to undergo endotracheal intubation or incision for assisted ventilation. In addition, doctors will actively deal with the primary diseases that cause chronic respiratory failure, such as emphysema, pulmonary fibrosis, thoracic deformity, heart disease, etc., at the same time as chronic respiratory failure, so as to eliminate ** as much as possible and delay the disease.

I don't think it's completely **, because it's a very serious disease, and it's very difficult**, so when we have this situation, we must go to the hospital for a physical examination.

This is impossible, because now there is respiratory failure, some of the patient's organs are basically unable to function, and there are other diseases, so it is impossible to completely **.

No, because this disease is very serious, it is a malignant disease, and then it will also affect normal breathing, which needs to be maintained by medication.

1 Underlying medical conditions**.

2. Improve ventilation and correct hypoxia and carbon dioxide retention. Late.

1) Keep the airway open: antispasmodic and asthmatic, clear phlegm. Commonly used antiasthmatic drugs include aminophylline, 2-receptor stimulants, anticholinergics (ipratropium, brondan), and adrenocorticosteroids.

Patients with viscous sputum can be treated with expectorants such as ammonium chloride and bisopin, or inhaled with nebulization such as chymotrypsin and pancreatic deoxyribonuclease, or cricothyroid membrane puncture, continuous or intermittent tracheal drug instillation. Patients who do not respond to the above management or who are comatose may be intubated or tracheostomy may be used to aspirate sputum.

2) Oxygen therapy: continuous low-concentration oxygen should be used for type of respiratory failure, and the oxygen concentration should be controlled at about 30. With nasal cannula (or nasal prongs), the oxygen flow is controlled at 1 2 l min. The nasal cannula oxygen concentration is calculated using the following formula:

Inhaled oxygen concentration ( ) 21+4 oxygen flow rate (l min).

3) Use of respiratory stimulants: coramine, lobeline, huisulin, etc. are commonly used.

4) Mechanically assisted breathing: After the above treatment, patients with severe respiratory failure whose blood gas does not improve can try non-invasive artificial ventilation with nasal (mask) masks. Patients who do not respond to nasal mask ventilation, or who have a large amount of airway secretions and impaired clearance, are comatose or have multiple organ impairment, or who are respiratory weak, should undergo endotracheal intubation or tracheostomy and artificial assisted respiration with a respirator.

In recent years, nasal endotracheal intubation is often used, which is well tolerated by patients and can be left in place for a long time.

3) Correction of acid-base imbalance and electrolyte imbalance, patients with chronic respiratory failure often have exhalation, acid substitutes, low potassium, low chlorine alkali substitutes, etc. Correction of exhalation is mainly to improve ventilation and excrete excess carbon dioxide, and only when the pH < 7 20, a small amount of alkaline solution should be used as appropriate to raise the pH value above 7 30. A small amount of sodium bicarbonate solution can be used as an acid substitute.

Alkali substitutes are often accompanied by low potassium and low chloride, and potassium chloride can be given; Patients with normal serum potassium can be supplemented with arginine hydrochloride and ammonium chloride to increase blood chloride ions and promote the excretion of HCO3-; Those with convulsions. Calcium chloride and magnesium sulfate can be used.

4) Use antibiotics to control infections.

5)**Complications: such as heart failure, gastrointestinal bleeding and pulmonary encephalopathy.

6) Nutritional support: Most people with respiratory failure have malnutrition, which leads to decreased immunity and respiratory muscle weakness, so calories and essential nutrients should be supplemented. the discharge of the ; Those with convulsions. Calcium chloride and magnesium sulfate can be used.

4) Use antibiotics to control infections.

5)**Complications: such as heart failure, gastrointestinal bleeding and pulmonary encephalopathy.

6) Nutritional support: Most people with respiratory failure have malnutrition, which leads to decreased immunity and respiratory muscle weakness.

Chronic respiratory failure is actually a lesion of lung tissue, so it will lead to respiratory failure, this disease is very harmful to the body, chronic respiratory failure is not curable, this is a disease, it needs to be controlled with drugs all the time.

The pathogenesis is that there may be some diseases, which may be caused by the reduction of lung tissue. It can be improved, but it is impossible to cure all of them, because it is a disease that cannot be cured.

There is no so-called best way for respiratory failure, and multi-factor comprehensive prevention and treatment is required, such as prevention and treatment of the primary disease, prevention and removal of triggers, unblocking the airway and improving ventilation, improving hypoxia, close observation and monitoring, and comprehensive **.

1.Prevention and treatment of primary diseases: prevention of primary diseases that cause respiratory failure, or timely and active treatment after the onset of the disease.

2.Preventing and removing triggers: Preventing and removing triggers must also be prevented from causing respiratory failure.

When patients with respiratory diseases need to undergo surgery, the patient's pulmonary function reserve should be checked first, and patients with impaired lung function or chronic respiratory failure should be actively prevented and removed from various triggers to avoid inducing acute respiratory failure.

3.Airway clearance and improved ventilation: common methods include clearance of airway contents or secretions; relieves bronchospasm; Anti-inflammatory** to reduce airway swelling and secretion (e.g., dexamethasone); Endotracheal intubation or tracheostomy if necessary; Respiratory central stimulants (e.g., nicosamide, etc.); Grasp the indications and use mechanical assisted ventilation correctly.

4.Improvement of hypoxia: Severe hypoxia must be present in respiratory failure, so correcting hypoxia and increasing the partial pressure of oxygen to normal levels is essential to improve respiratory function.

5.Close observation and monitoring, comprehensive**: pay attention to correcting acid-base balance disorders and water-electrolyte disorders; Maintain the function of important organs such as the heart, brain, and kidneys; Prevent common serious complications.

The above measures can improve the symptoms of patients with respiratory failure, but if respiratory failure occurs, you should go to the respiratory medicine department of a regular hospital to improve respiratory function under the guidance of a professional doctor. The above drugs should be standardized and rationally used under the guidance of professional physicians and pharmacists.

The best principle of respiratory failure is to actively deal with the primary disease and triggers, quickly correct severe hypoxia and carbon dioxide retention, and improve respiratory function.

1.Maintain airway patency.

Antispasmodic, relieved asthma, clear phlegm. Moistening the respiratory tract and providing mechanical attraction; Appropriate use of bronchial antispasmodics, expectorants, etc., and establishment of tracheal intubation, tracheostomy, and artificial airway if necessary.

2.Oxygen therapy feast is noisy.

Oxygen therapy is a targeted measure to correct hypoxia in the waiter.

1) PaO2 8kPa is generally set as the indication for oxygen therapy, and PaO2 is the indicator that oxygen therapy is necessary.

2) Oxygen delivery routes include nasal congestion, nasal cannula method, examination mask method or mechanical ventilation method.

3) Chronic respiratory failure can continue to have low flow (1 2l min) and low concentration (24 28) oxygen inhalation; Acute attacks can be treated with high-concentration oxygen therapy of more than 50.

3.Increase ventilation.

It should be balanced with respiratory stimulants, such as nicosamide. or a ventilator to assist breathing.

4.Control infection.

5.pH balance treatment.