Japanese niv

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  • Noninvasive Positive Pressure VentilationNPPV

    NPPV

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  • NPPV

    !"#$%&'()*+,-./0%!"

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  • NPPV

    1NPPV 2NPPV! 3NPPV"#$%&'()*+,-

    4 ./0' NPPV1234

    5! ./0' NPPV1234

    656.789':;+1?@AB CD

    7NPPV23.789'EF

    G A 1COPD1HI2JK

    3LMNOPQ1HI4RSLT5UVLWX6YZ[\7()]^._`a1bc48de .fg 9ARDSALIAhQLT

    B! 1ijkl2COPD!m3!U ./0'no-pq

  • Noninvasive Positive Pressure VentilationNPPV

    A1COPD NPPV

    chronic obstructive pulmonary disease : COPD !"#GOLDGlobal Initiative for Chronic Obstructive Lung Dis-ease$NPPV%&'%&()&*+,-./012345346 78.!" I A#NPPV,69*: ;,?/@AB/CDEFGNPPVHI/J.KL$M#2NO/()P;{,3W=5,3W/J.a J.?&!"#Q>$ NPPV,,9/+P?d9/b$M#8@7.!"$b G.%&pX9$wA$ NPPV,=U#8B&.C6$MXDXEF!W -.$M VC#5!"#$-= CPAP conventional

    oxygen therapy.C 34PaO2FIO2u9G=klT&%&34534,cW/#HIJklm?KnW"J..$M#bilevel PAP CPAP5L6KnW"CPAP.C{)@kl!" #CPAP. bilevel PAP.$-;

    cF,c->/=6 '$M#-= NPPVCPAPU bilevel PAPT&%&U(),34!~#cCPAP{)@,kl!~#-= NPPVH CPAP,P

  • NPPV

    III CPaO2PaCO2SpO2 !" 30#60$%&'()*+,-,./012234567-789:+;* 30#35|YRB>ST}CPaO2FIO2* 300Yr PaCO2* 45 mmHgYR

    9ARDSALI!"#$%D$~UVBacute respiratory distress syn-

    drome : ARDSCD$&WBacute lung injury : ALICX^N7I],&YP2Z$[\D$FG-ARDSALI2]^122r_8-*X` NPPV*5%VILIBventilator-induced lung injuryC VAPBventilator-associated pneumoniav89a&CM'|b7V7$*- IV C&BEqFGM'>Cc&@A^N NPPV*#$%?$&@ABCOPDCM&NPPV*d$exOR'f22^Q12'Kr]/IJ:+NPPV*], II BX8#$&@A*-

    c&@A* COPDY-& NPPV5%$g+:>.P/* IV C&' B( 1)* +,-.#$O NPPV&H"hi"j

    kl$@ABrestrictive thoracic disease :RTDCm^z*n/opnlmq'G[\4rN" QOL)*s],3Zt_>+,u$Ov*+,^opo w- RTDxONPPV'*0IJ' IVC/2COPD0( 12#$%?$&@ABCOPDC#$FGAx

    yz/n*>?NPPV{%&q|m !V7$*],COPD}~* NPPV)Js-3a QOL)0ST6D$'EJT6=*Jb5+,NPPV*0-Nz/$'sN5>?$'IJ*'+*0 3#4"cla~QOLNPPV o l('s>?$'(>?*- II C/3( 3456789:;*[\sIJ:+7 V D

    483Noninvasive Positive Pressure VentilationBNPPVCopo

  • 4BMI30 kgm2

    PaCO245 mmHgOSASAHI30 !"#$%&'()*+(nasal CPAP, I A&!-! OSAS./(!0 CPAP12*$345'6 !!-7CPAP89"#$ desaturation%:;1 NPPV:W#&;4$d%( NPPVtw+./x(y&zQ8{H#&)m;5|(=>G>$B{

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