飛利(li)浦呼(hu)吸機操(cao)作(zuo)(zuo)指(zhi)(zhi)南一、使(shi)用前準備(bei)1.檢(jian)查設備(bei)：確認呼(hu)吸機外觀(guan)無(wu)(wu)破(po)損，飛利(li)浦呼(hu)吸機維(wei)修，電(dian)(dian)源線、管(guan)路(lu)、面(mian)(mian)罩(zhao)等配件完整且清潔。2.連(lian)接(jie)管(guan)路(lu)：將(jiang)空氣(qi)(qi)過濾棉裝(zhuang)入位(wei)置，連(lian)接(jie)呼(hu)吸管(guan)路(lu)與主(zhu)機及濕化器（若(ruo)使(shi)用）。3.電(dian)(dian)源準備(bei)：接(jie)通(tong)電(dian)(dian)源并開機自檢(jian)，確保(bao)設備(bei)顯示(shi)正(zheng)常無(wu)(wu)報(bao)錯提示(shi)。二、操(cao)作(zuo)(zuo)流程1.模式(shi)(shi)選擇(ze)：-根(gen)據(ju)醫(yi)囑(zhu)選擇(ze)C（持續正(zheng)壓(ya)通(tong)氣(qi)(qi)）或Bi（雙水平正(zheng)壓(ya)通(tong)氣(qi)(qi)）模式(shi)(shi)。-患者(zhe)(zhe)可選擇(ze)Auto模式(shi)(shi)（自動(dong)(dong)調節壓(ya)力(li)）。2.參數(shu)設置：-初始壓(ya)力(li)范圍通(tong)常設為(wei)4-20cmH?O，具體(ti)(ti)數(shu)值需遵醫(yi)囑(zhu)。-設置呼(hu)吸頻(pin)率（10-20次/分(fen)）和吸呼(hu)比(bi)（1:1.5-1:2）。3.佩戴面(mian)(mian)罩(zhao)：-選擇(ze)合適尺寸的面(mian)(mian)罩(zhao)/鼻罩(zhao)，調節頭帶松(song)緊至(zhi)無(wu)(wu)漏(lou)氣(qi)(qi)且患者(zhe)(zhe)舒適。-連(lian)接(jie)呼(hu)吸管(guan)路(lu)與面(mian)(mian)罩(zhao)接(jie)口。4.啟(qi)動(dong)(dong)治療：-按Start鍵(jian)(jian)開始運行(xing)(xing)，觀(guan)察患者(zhe)(zhe)呼(hu)吸同(tong)步(bu)性。-通(tong)過顯示(shi)屏實時監(jian)測(ce)潮氣(qi)(qi)量、血(xue)氧(yang)飽和度等數(shu)據(ju)。三、注意事項(xiang)1.使(shi)用需在醫(yi)護人員指(zhi)(zhi)導下進行(xing)(xing)2.濕化器水溫應維(wei)持在37℃±2℃3.出現報(bao)警時立即檢(jian)查管(guan)路(lu)連(lian)接(jie)、患者(zhe)(zhe)狀態及參數(shu)設置4.禁止自行(xing)(xing)更改氧(yang)濃度等關(guan)鍵(jian)(jian)參數(shu)四、關(guan)機維(wei)護1.按Stop鍵(jian)(jian)停(ting)止運行(xing)(xing)后斷(duan)開電(dian)(dian)源2.每(mei)日用中性清潔劑消毒(du)面(mian)(mian)罩(zhao)及管(guan)路(lu)3.每(mei)周(zhou)更換空氣(qi)(qi)過濾棉4.每(mei)月(yue)進行(xing)(xing)設備(bei)性能檢(jian)測(ce)（注：不(bu)同(tong)機型(xing)操(cao)作(zuo)(zuo)存在差異，請以(yi)具體(ti)(ti)型(xing)號說明書為(wei)準。突發(fa)緊急情況應立即切換備(bei)用呼(hu)吸支持方(fang)案。）

老(lao)(lao)(lao)年人呼吸(xi)(xi)(xi)(xi)機(ji)常(chang)(chang)(chang)用(yong)(yong)模(mo)(mo)(mo)式(shi)及(ji)適(shi)用(yong)(yong)場(chang)景解析(xi)（約450字）呼吸(xi)(xi)(xi)(xi)機(ji)是老(lao)(lao)(lao)年呼吸(xi)(xi)(xi)(xi)系統疾(ji)病(bing)治(zhi)療的(de)重要(yao)設(she)備(bei)(bei)，根據患者(zhe)病(bing)理特點和病(bing)情(qing)程度，主(zhu)要(yao)提(ti)供以下(xia)模(mo)(mo)(mo)式(shi)：一、基(ji)礎無(wu)創模(mo)(mo)(mo)式(shi)1.C（持(chi)(chi)續氣(qi)(qi)(qi)道(dao)正(zheng)壓(ya)(ya)通(tong)(tong)氣(qi)(qi)(qi)）通(tong)(tong)過恒定(ding)(ding)壓(ya)(ya)力(li)(li)(li)(li)保持(chi)(chi)氣(qi)(qi)(qi)道(dao)開(kai)放，適(shi)用(yong)(yong)于阻塞性(xing)睡眠(mian)呼吸(xi)(xi)(xi)(xi)暫(zan)停（OSA）患者(zhe)。對夜(ye)間(jian)(jian)打鼾、呼吸(xi)(xi)(xi)(xi)暫(zan)停有顯著改善(shan)作用(yong)(yong)，壓(ya)(ya)力(li)(li)(li)(li)范(fan)圍4-20cmH?O。2.Bi（雙(shuang)水(shui)平氣(qi)(qi)(qi)道(dao)正(zheng)壓(ya)(ya)通(tong)(tong)氣(qi)(qi)(qi)）提(ti)供吸(xi)(xi)(xi)(xi)氣(qi)(qi)(qi)壓(ya)(ya)（I）和呼氣(qi)(qi)(qi)壓(ya)(ya)（E）雙(shuang)壓(ya)(ya)力(li)(li)(li)(li)支(zhi)持(chi)(chi)，適(shi)用(yong)(yong)于COPD、等需(xu)(xu)壓(ya)(ya)力(li)(li)(li)(li)差(cha)促進(jin)通(tong)(tong)氣(qi)(qi)(qi)的(de)患者(zhe)。可改善(shan)二(er)氧化碳(tan)潴留，I通(tong)(tong)常(chang)(chang)(chang)設(she)置在(zai)(zai)8-25cmH?O。二(er)、智能調節模(mo)(mo)(mo)式(shi)3.AVAPS（平均容積保證壓(ya)(ya)力(li)(li)(li)(li)支(zhi)持(chi)(chi)）自動(dong)調節壓(ya)(ya)力(li)(li)(li)(li)維(wei)持(chi)(chi)目標潮(chao)氣(qi)(qi)(qi)量(liang)，三明呼吸(xi)(xi)(xi)(xi)機(ji)維(wei)修，適(shi)合(he)神經(jing)肌肉(rou)疾(ji)病(bing)或(huo)呼吸(xi)(xi)(xi)(xi)肌無(wu)力(li)(li)(li)(li)患者(zhe)，保障低(di)通(tong)(tong)氣(qi)(qi)(qi)量(liang)需(xu)(xu)求（通(tong)(tong)常(chang)(chang)(chang)400-600ml）。三、醫療級(ji)輔助模(mo)(mo)(mo)式(shi)4.ST模(mo)(mo)(mo)式(shi)（同步時(shi)間(jian)(jian)控(kong)(kong)制(zhi)(zhi)）結(jie)合(he)自主(zhu)呼吸(xi)(xi)(xi)(xi)與時(shi)間(jian)(jian)觸發，用(yong)(yong)于呼吸(xi)(xi)(xi)(xi)節律不(bu)穩定(ding)(ding)的(de)患者(zhe)（如(ru)患者(zhe)），后備(bei)(bei)呼吸(xi)(xi)(xi)(xi)頻率常(chang)(chang)(chang)設(she)為12-16次(ci)/分。5.PCV（壓(ya)(ya)力(li)(li)(li)(li)控(kong)(kong)制(zhi)(zhi)通(tong)(tong)氣(qi)(qi)(qi)）限定(ding)(ding)壓(ya)(ya)力(li)(li)(li)(li)進(jin)行強制(zhi)(zhi)通(tong)(tong)氣(qi)(qi)(qi)，飛利浦呼吸(xi)(xi)(xi)(xi)機(ji)維(wei)修，適(shi)用(yong)(yong)于術后恢(hui)復期或(huo)肺部順應性(xing)差(cha)的(de)患者(zhe)，可預防氣(qi)(qi)(qi)壓(ya)(ya)傷(shang)。四、特殊支(zhi)持(chi)(chi)模(mo)(mo)(mo)式(shi)6.PSV（壓(ya)(ya)力(li)(li)(li)(li)支(zhi)持(chi)(chi)通(tong)(tong)氣(qi)(qi)(qi)）在(zai)(zai)患者(zhe)自主(zhu)呼吸(xi)(xi)(xi)(xi)基(ji)礎上提(ti)供壓(ya)(ya)力(li)(li)(li)(li)輔助，用(yong)(yong)于脫機(ji)訓練，可減少呼吸(xi)(xi)(xi)(xi)做(zuo)功，壓(ya)(ya)力(li)(li)(li)(li)支(zhi)持(chi)(chi)范(fan)圍5-15cmH?O。選擇(ze)要(yao)點：-睡眠(mian)障礙C-COPD急性(xing)加重期采用(yong)(yong)Bi-呼吸(xi)(xi)(xi)(xi)肌無(wu)力(li)(li)(li)(li)考慮AVAPS-術后恢(hui)復建(jian)議(yi)PCV+PSV組合(he)需(xu)(xu)注(zhu)意：模(mo)(mo)(mo)式(shi)選擇(ze)需(xu)(xu)結(jie)合(he)血氣(qi)(qi)(qi)分析(xi)、肺功能檢測(ce)及(ji)臨(lin)床評估。家用(yong)(yong)呼吸(xi)(xi)(xi)(xi)機(ji)多配置C/Bi/AVAPS，醫療級(ji)設(she)備(bei)(bei)模(mo)(mo)(mo)式(shi)更。建(jian)議(yi)在(zai)(zai)呼吸(xi)(xi)(xi)(xi)治(zhi)療師指導下(xia)進(jin)行壓(ya)(ya)力(li)(li)(li)(li)滴定(ding)(ding)和模(mo)(mo)(mo)式(shi)適(shi)配，夜(ye)間(jian)(jian)使用(yong)(yong)需(xu)(xu)配合(he)血氧監測(ce)。老(lao)(lao)(lao)年人皮膚脆弱，應選用(yong)(yong)貼(tie)合(he)面罩并(bing)定(ding)(ding)期檢查壓(ya)(ya)瘡(chuang)情(qing)況。

睡眠呼(hu)(hu)吸機(ji)(ji)（C/Bi）的(de)正常運行(xing)和用(yong)(yong)戶體驗(yan)離不開多種(zhong)配(pei)(pei)(pei)(pei)件(jian)(jian)的(de)協同(tong)配(pei)(pei)(pei)(pei)合(he)，以(yi)下為(wei)主(zhu)要配(pei)(pei)(pei)(pei)件(jian)(jian)及其功能(neng)說明：1.**面(mian)罩(zhao)(zhao)系(xi)統**面(mian)罩(zhao)(zhao)是(shi)與(yu)用(yong)(yong)戶直接(jie)(jie)(jie)接(jie)(jie)(jie)觸的(de)部(bu)件(jian)(jian)，飛利浦呼(hu)(hu)吸機(ji)(ji)維修，常見類型(xing)(xing)(xing)包括(kuo)：-**鼻罩(zhao)(zhao)**：覆蓋鼻腔，適(shi)合(he)用(yong)(yong)鼻呼(hu)(hu)吸者(zhe)，體積較小壓迫感低。-**口(kou)鼻罩(zhao)(zhao)**：覆蓋口(kou)鼻，適(shi)合(he)口(kou)呼(hu)(hu)吸或鼻塞用(yong)(yong)戶，密封性(xing)更強。-**鼻枕**：通過軟膠(jiao)(jiao)墊(dian)插入鼻孔，適(shi)合(he)幽閉(bi)恐(kong)懼癥患者(zhe)，但需(xu)(xu)適(shi)應(ying)期(qi)。選(xuan)擇時需(xu)(xu)考慮面(mian)型(xing)(xing)(xing)、呼(hu)(hu)吸習慣及舒適(shi)度(du)(du)，部(bu)分型(xing)(xing)(xing)號支(zhi)(zhi)持磁吸扣設(she)計(ji)以(yi)便拆(chai)卸。2.**管路(lu)(lu)（空(kong)氣導管）**連接(jie)(jie)(jie)主(zhu)機(ji)(ji)與(yu)面(mian)罩(zhao)(zhao)的(de)軟管，長度(du)(du)通常為(wei)1.8-2米，材質需(xu)(xu)柔(rou)韌抗(kang)扭曲。部(bu)分機(ji)(ji)型(xing)(xing)(xing)配(pei)(pei)(pei)(pei)備**加(jia)溫管路(lu)(lu)**，通過內置加(jia)熱(re)絲減少冷(leng)凝水(shui)產生(sheng)，避(bi)免夜間“雨淋效應(ying)”（冷(leng)凝水(shui)倒流）。3.**過濾器(qi)**-**空(kong)氣過濾器(qi)**：分為(wei)可(ke)清(qing)洗（海綿/纖(xian)維）與(yu)一次(ci)性(xing)（超細濾紙）兩種(zhong)，用(yong)(yong)于(yu)(yu)阻隔(ge)灰塵、花粉等(deng)顆(ke)粒物(wu)，建議每月更換。-**細菌(jun)過濾器(qi)**（選(xuan)配(pei)(pei)(pei)(pei)）：攔截(jie)微生(sheng)物(wu)，適(shi)用(yong)(yong)于(yu)(yu)力(li)低下者(zhe)。4.**加(jia)濕(shi)器(qi)組件(jian)(jian)**集成(cheng)或外置的(de)恒(heng)溫加(jia)濕(shi)水(shui)箱，通過加(jia)熱(re)蒸餾水(shui)產生(sheng)濕(shi)潤(run)氣流，緩解鼻腔干燥。需(xu)(xu)每日(ri)換水(shui)并定(ding)期(qi)除垢，部(bu)分機(ji)(ji)型(xing)(xing)(xing)配(pei)(pei)(pei)(pei)備自動濕(shi)度(du)(du)調(diao)(diao)節功能(neng)。5.**頭帶(dai)與(yu)固定(ding)裝置**硅(gui)膠(jiao)(jiao)或彈(dan)性(xing)織物(wu)材質的(de)可(ke)調(diao)(diao)節頭帶(dai)，確(que)(que)保面(mian)罩(zhao)(zhao)貼(tie)合(he)且分散壓力(li)。部(bu)分設(she)計(ji)采用(yong)(yong)分段式搭(da)扣，便于(yu)(yu)單獨調(diao)(diao)整頂部(bu)/頸部(bu)松緊。6.**電源相關(guan)配(pei)(pei)(pei)(pei)件(jian)(jian)**-**電源適(shi)配(pei)(pei)(pei)(pei)器(qi)**：需(xu)(xu)匹配(pei)(pei)(pei)(pei)機(ji)(ji)型(xing)(xing)(xing)電壓（通常12V/24V）。-**備用(yong)(yong)電池(chi)**：戶外或停電時使用(yong)(yong)，鋰電池(chi)輕便但需(xu)(xu)注意(yi)續(xu)航時間（通常4-8小時）。7.**清(qing)潔與(yu)維護工具**包括(kuo)消毒(du)劑(ji)、管路(lu)(lu)刷(shua)、面(mian)罩(zhao)(zhao)濕(shi)巾等(deng)，建議每周深度(du)(du)清(qing)潔以(yi)防止細菌(jun)滋生(sheng)。紫外線消毒(du)盒等(deng)智(zhi)能(neng)設(she)備可(ke)提(ti)升清(qing)潔效率(lv)。8.**智(zhi)能(neng)配(pei)(pei)(pei)(pei)件(jian)(jian)**-**SD卡/WiFi模塊**：用(yong)(yong)于(yu)(yu)傳輸治(zhi)療(liao)數(shu)據(ju)至(zhi)手機(ji)(ji)APP，便于(yu)(yu)跟蹤AHI指數(shu)、漏氣率(lv)等(deng)參(can)數(shu)。-**遠(yuan)程監測設(she)備**：部(bu)分機(ji)(ji)型(xing)(xing)(xing)支(zhi)(zhi)持云端數(shu)據(ju)傳輸，供醫(yi)生(sheng)遠(yuan)程調(diao)(diao)整壓力(li)參(can)數(shu)。**選(xuan)購(gou)建議**：優(you)先選(xuan)擇原廠配(pei)(pei)(pei)(pei)件(jian)(jian)以(yi)確(que)(que)保兼(jian)容性(xing)，第三方產品需(xu)(xu)確(que)(que)認適(shi)用(yong)(yong)機(ji)(ji)型(xing)(xing)(xing)。定(ding)期(qi)檢查管路(lu)(lu)老化(hua)、面(mian)罩(zhao)(zhao)硅(gui)膠(jiao)(jiao)硬化(hua)等(deng)情況(kuang)，通常面(mian)罩(zhao)(zhao)每6-12個(ge)月需(xu)(xu)更換。正確(que)(que)搭(da)配(pei)(pei)(pei)(pei)配(pei)(pei)(pei)(pei)件(jian)(jian)可(ke)顯(xian)著提(ti)升治(zhi)療(liao)依從性(xing)，減少皮膚壓痕、干燥等(deng)副作用(yong)(yong)。