瑞(rui)思邁呼吸機(ji)(ji)(ji)安(an)裝(zhuang)(zhuang)(zhuang)步驟及(ji)注(zhu)(zhu)意事項一、開箱(xiang)檢(jian)查與(yu)準備(bei)1.檢(jian)查外包裝(zhuang)(zhuang)(zhuang)是否完整(zheng)，核對主機(ji)(ji)(ji)、管(guan)(guan)路(lu)(lu)、面(mian)(mian)罩(zhao)、電(dian)源(yuan)(yuan)適配器(qi)等配件(jian)是否齊全。2.確認機(ji)(ji)(ji)器(qi)型(xing)號（如AirSense10系(xi)列(lie)）與(yu)購買清(qing)單(dan)一致，檢(jian)查機(ji)(ji)(ji)身無磕碰損傷(shang)。二、主機(ji)(ji)(ji)安(an)裝(zhuang)(zhuang)(zhuang)1.將主機(ji)(ji)(ji)平穩放置在離床0.5-1米的穩固臺(tai)面(mian)(mian)，保(bao)持通(tong)風口(kou)無遮擋(dang)。2.連(lian)接(jie)(jie)(jie)電(dian)源(yuan)(yuan)適配器(qi)，注(zhu)(zhu)意使用(yong)原裝(zhuang)(zhuang)(zhuang)電(dian)源(yuan)(yuan)線（輸(shu)入電(dian)壓100-240V，50/60Hz）。三(san)、濕(shi)化器(qi)安(an)裝(zhuang)(zhuang)(zhuang)（適用(yong)型(xing)號）1.取出(chu)獨立濕(shi)化器(qi)組件(jian)，向水(shui)(shui)罐(guan)注(zhu)(zhu)入純凈(jing)水(shui)(shui)至(zhi)MAX刻度(du)(du)線下(xia)（每日更(geng)換）。2.將注(zhu)(zhu)水(shui)(shui)罐(guan)垂直(zhi)插入主機(ji)(ji)(ji)右側卡槽(cao)，確保(bao)密封圈完全貼合。四(si)、管(guan)(guan)路(lu)(lu)連(lian)接(jie)(jie)(jie)1.將6mm標(biao)準管(guan)(guan)路(lu)(lu)一端連(lian)接(jie)(jie)(jie)主機(ji)(ji)(ji)出(chu)氣口(kou)，聽到'咔嗒'聲表(biao)示(shi)卡扣到位。2.管(guan)(guan)路(lu)(lu)另一端連(lian)接(jie)(jie)(jie)面(mian)(mian)罩(zhao)接(jie)(jie)(jie)口(kou)，檢(jian)查硅膠墊片是否平整(zheng)無破(po)損。五、面(mian)(mian)罩(zhao)佩(pei)戴1.根據(ju)臉型(xing)選擇鼻罩(zhao)/口(kou)鼻罩(zhao)，調節(jie)頭帶松緊度(du)(du)至(zhi)可插入1-2指為(wei)宜。2.開機(ji)(ji)(ji)后(hou)通(tong)過(guo)'面(mian)(mian)罩(zhao)貼合測試'功(gong)能檢(jian)查漏氣情況，惠安(an)老人呼吸機(ji)(ji)(ji)，漏氣量應＜24L/min。六、參數(shu)設置1.使用(yong)需由(you)人員設置治療(liao)模(mo)式（C/AutoSet等）和壓力(li)范圍。2.通(tong)過(guo)旋轉按鈕調節(jie)濕(shi)度(du)(du)等級(ji)（1-8檔）和管(guan)(guan)路(lu)(lu)溫(wen)度(du)(du)（ClimateLineAir管(guan)(guan)路(lu)(lu)）。注(zhu)(zhu)意事項：1.每周清(qing)洗水(shui)(shui)罐(guan)和管(guan)(guan)路(lu)(lu)，每月(yue)更(geng)換過(guo)濾棉2.避免陽光直(zhi)射(she)，工作環境溫(wen)度(du)(du)10-35℃3.使用(yong)前需充電(dian)4小時以上4.出(chu)現E字開頭故(gu)障代碼時需聯系(xi)售后(hou)安(an)裝(zhuang)(zhuang)(zhuang)完成后(hou)，建議在醫生指導下(xia)進行30分(fen)鐘試機(ji)(ji)(ji)，逐步適應治療(liao)壓力(li)。定期通(tong)過(guo)AirView云平臺(tai)查看使用(yong)數(shu)據(ju)，確保(bao)治果。

飛利浦呼吸(xi)機使(shi)(shi)用(yong)(yong)步(bu)驟(zou)（以(yi)DreamStation系(xi)列為例）一、使(shi)(shi)用(yong)(yong)前準(zhun)備(bei)1.檢查設(she)(she)備(bei)：確認主機、管路(lu)、面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)、過(guo)濾(lv)棉等配(pei)件(jian)齊全，檢查過(guo)濾(lv)棉是否清潔(jie)（建(jian)議(yi)每(mei)月更換(huan)）2.加(jia)(jia)(jia)水(shui)(shui)箱：使(shi)(shi)用(yong)(yong)純凈水(shui)(shui)注入水(shui)(shui)箱至(zhi)MA以(yi)下，注意(yi)不(bu)要超過(guo)水(shui)(shui)位線(xian)3.連(lian)接(jie)管路(lu)：將加(jia)(jia)(jia)溫(wen)管路(lu)一端連(lian)接(jie)主機出(chu)氣(qi)口，另一端連(lian)接(jie)面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)二、佩戴(dai)與啟動1.佩戴(dai)面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)：-選擇合適(shi)尺寸鼻(bi)罩(zhao)(zhao)(zhao)/口鼻(bi)罩(zhao)(zhao)(zhao)-調整(zheng)頭(tou)帶(dai)松緊（應能(neng)插入1-2根(gen)(gen)手指(zhi)）-保(bao)持面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)與面(mian)(mian)(mian)部貼合無漏氣(qi)2.開(kai)機設(she)(she)置：-長按電源(yuan)鍵3秒啟動-通過(guo)旋鈕設(she)(she)置預設(she)(she)壓(ya)力(li)(li)值(zhi)（需(xu)遵醫囑）-開(kai)啟加(jia)(jia)(jia)溫(wen)加(jia)(jia)(jia)濕功(gong)能(neng)（根(gen)(gen)據(ju)季節調節1-3檔）三、使(shi)(shi)用(yong)(yong)注意(yi)事(shi)項1.保(bao)持自然(ran)呼吸(xi)節奏，避(bi)免(mian)刻意(yi)對抗氣(qi)流(liu)2.使(shi)(shi)用(yong)(yong)建(jian)議(yi)從低壓(ya)力(li)(li)開(kai)始適(shi)應（30分鐘逐(zhu)步(bu)延長）3.出(chu)現漏氣(qi)時重新調整(zheng)面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)位置4.夜間(jian)使(shi)(shi)用(yong)(yong)建(jian)議(yi)搭(da)配(pei)水(shui)(shui)箱加(jia)(jia)(jia)濕功(gong)能(neng)四、日常維護1.每(mei)日清潔(jie)：-面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)用(yong)(yong)中性(xing)洗(xi)滌劑清洗(xi)-水(shui)(shui)箱每(mei)日換(huan)水(shui)(shui)并晾干2.每(mei)周消毒(du)(du)：-管路(lu)用(yong)(yong)消毒(du)(du)液(ye)浸泡(pao)15分鐘-主機表面(mian)(mian)(mian)酒精擦拭3.定期更換(huan)：-過(guo)濾(lv)棉每(mei)月更換(huan)-硅(gui)膠(jiao)面(mian)(mian)(mian)罩(zhao)(zhao)(zhao)每(mei)3-6個(ge)月更換(huan)五、安(an)全提(ti)示1.出(chu)現持續報警應立即斷開(kai)電源(yuan)2.避(bi)免(mian)在水(shui)(shui)箱無水(shui)(shui)狀態下開(kai)啟加(jia)(jia)(jia)濕功(gong)能(neng)3.設(she)(she)備(bei)應放(fang)置在平穩通風處，遠離熱(re)源(yuan)（注：具體(ti)操作請以(yi)設(she)(she)備(bei)說明書及醫囑為準(zhun)，老人呼吸(xi)機出(chu)租(zu)，初次使(shi)(shi)用(yong)(yong)建(jian)議(yi)在人員指(zhi)導下進行）

無(wu)創(chuang)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)（Non-InvasiveVentilator，NIV）是一(yi)(yi)種(zhong)通(tong)(tong)(tong)(tong)過(guo)面(mian)罩(zhao)或鼻罩(zhao)等(deng)(deng)外部(bu)接(jie)口提(ti)供通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)支(zhi)持的(de)，無(wu)需(xu)(xu)侵入性氣(qi)(qi)(qi)(qi)(qi)(qi)管插管。根據其(qi)工作原(yuan)(yuan)理、適(shi)用(yong)(yong)場景(jing)及(ji)(ji)功(gong)(gong)(gong)能(neng)(neng)(neng)特(te)點(dian)，主(zhu)要(yao)(yao)可分為以下幾類(lei)：###1.**持續(xu)氣(qi)(qi)(qi)(qi)(qi)(qi)道(dao)正(zheng)壓(ya)通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)機(ji)（C）**-**原(yuan)(yuan)理**：提(ti)供單一(yi)(yi)恒(heng)定正(zheng)壓(ya)，在患(huan)者(zhe)(zhe)(zhe)整個呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)周(zhou)(zhou)期（吸(xi)(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)(qi)(qi)和(he)(he)呼(hu)(hu)(hu)(hu)氣(qi)(qi)(qi)(qi)(qi)(qi)）保(bao)(bao)持氣(qi)(qi)(qi)(qi)(qi)(qi)道(dao)開放。-**適(shi)用(yong)(yong)癥(zheng)**：主(zhu)要(yao)(yao)用(yong)(yong)于阻塞性睡眠呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)暫停綜合征（OSAHS），也適(shi)用(yong)(yong)于輕度(du)(du)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)衰竭(jie)或心源性的(de)輔助治療。-**特(te)點(dian)**：結(jie)(jie)構(gou)簡單，老人呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)出租，操作便捷，適(shi)合家庭使(shi)用(yong)(yong)，但(dan)對主(zhu)動(dong)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)能(neng)(neng)(neng)力(li)要(yao)(yao)求較(jiao)高(gao)(gao)。###2.**雙水平氣(qi)(qi)(qi)(qi)(qi)(qi)道(dao)正(zheng)壓(ya)通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)機(ji)（Bi）**-**原(yuan)(yuan)理**：提(ti)供兩(liang)個不同壓(ya)力(li)水平——較(jiao)高(gao)(gao)的(de)吸(xi)(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)(qi)(qi)相正(zheng)壓(ya)（I）和(he)(he)較(jiao)低的(de)呼(hu)(hu)(hu)(hu)氣(qi)(qi)(qi)(qi)(qi)(qi)相正(zheng)壓(ya)（E），輔助患(huan)者(zhe)(zhe)(zhe)完(wan)成(cheng)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)周(zhou)(zhou)期。-**適(shi)用(yong)(yong)癥(zheng)**：適(shi)用(yong)(yong)于慢性阻塞性肺疾病(bing)(bing)（COPD）、急(ji)(ji)性呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)衰竭(jie)、神經肌肉疾病(bing)(bing)等(deng)(deng)需(xu)(xu)要(yao)(yao)較(jiao)高(gao)(gao)通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)支(zhi)持的(de)患(huan)者(zhe)(zhe)(zhe)。-**亞型(xing)**：-**S模(mo)式(shi)(shi)(shi)**：由患(huan)者(zhe)(zhe)(zhe)自(zi)主(zhu)觸(chu)發呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)。-**T模(mo)式(shi)(shi)(shi)**：按預設頻率強制通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)。-**ST模(mo)式(shi)(shi)(shi)**：結(jie)(jie)合S和(he)(he)T模(mo)式(shi)(shi)(shi)，確保(bao)(bao)通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)保(bao)(bao)障。###3.**智能(neng)(neng)(neng)自(zi)適(shi)應呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)（Auto-C/Auto-Bi）**-**原(yuan)(yuan)理**：通(tong)(tong)(tong)(tong)過(guo)傳感器實時監測(ce)患(huan)者(zhe)(zhe)(zhe)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)狀(zhuang)(zhuang)態，自(zi)動(dong)調(diao)節壓(ya)力(li)水平以匹配需(xu)(xu)求。-**適(shi)用(yong)(yong)癥(zheng)**：適(shi)用(yong)(yong)于壓(ya)力(li)需(xu)(xu)求波動(dong)較(jiao)大的(de)患(huan)者(zhe)(zhe)(zhe)（如(ru)體(ti)位變(bian)化(hua)(hua)導致OSAHS嚴重程(cheng)度(du)(du)變(bian)化(hua)(hua)）。-**特(te)點(dian)**：提(ti)高(gao)(gao)治療舒適(shi)度(du)(du)，老人呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)保(bao)(bao)養，降低壓(ya)力(li)過(guo)高(gao)(gao)引起的(de)不適(shi)。###4.**便攜(xie)(xie)式(shi)(shi)(shi)旅(lv)行呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)**-**設計(ji)**：輕量化(hua)(hua)、小(xiao)型(xing)化(hua)(hua)，內置電池支(zhi)持移動(dong)使(shi)用(yong)(yong)。-**適(shi)用(yong)(yong)場景(jing)**：需(xu)(xu)長期通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)的(de)患(huan)者(zhe)(zhe)(zhe)出行或緊急(ji)(ji)轉運。-**功(gong)(gong)(gong)能(neng)(neng)(neng)**：通(tong)(tong)(tong)(tong)常集(ji)成(cheng)基礎C/Bi模(mo)式(shi)(shi)(shi)，兼顧續(xu)航(hang)與便攜(xie)(xie)性。###5.**高(gao)(gao)流量氧療設備（HFNC）**-**原(yuan)(yuan)理**：通(tong)(tong)(tong)(tong)過(guo)高(gao)(gao)流量加溫濕化(hua)(hua)氧氣(qi)(qi)(qi)(qi)(qi)(qi)提(ti)供一(yi)(yi)定水平的(de)氣(qi)(qi)(qi)(qi)(qi)(qi)道(dao)正(zheng)壓(ya)，兼具氧濃度(du)(du)調(diao)節功(gong)(gong)(gong)能(neng)(neng)(neng)。-**適(shi)用(yong)(yong)癥(zheng)**：輕中度(du)(du)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)衰竭(jie)、拔管后過(guo)渡支(zhi)持或拒絕面(mian)罩(zhao)通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)的(de)患(huan)者(zhe)(zhe)(zhe)。###6.**新生兒/兒童(tong)無(wu)創(chuang)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)**-**特(te)點(dian)**：壓(ya)力(li)范圍、面(mian)罩(zhao)尺寸及(ji)(ji)算法針對嬰幼兒生理特(te)點(dian)優(you)(you)化(hua)(hua)，具備更靈敏(min)的(de)觸(chu)發系統和(he)(he)安(an)全(quan)保(bao)(bao)護機(ji)制。###7.**多(duo)功(gong)(gong)(gong)能(neng)(neng)(neng)無(wu)創(chuang)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)**-**應用(yong)(yong)場景(jing)**：醫(yi)院ICU或急(ji)(ji)診科(ke)，可提(ti)供通(tong)(tong)(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)模(mo)式(shi)(shi)(shi)（如(ru)AVAPS、iVAPS），集(ji)成(cheng)監測(ce)報(bao)警系統，兼容有創(chuang)-無(wu)創(chuang)切換。###總結(jie)(jie)無(wu)創(chuang)呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)的(de)選(xuan)擇需(xu)(xu)結(jie)(jie)合患(huan)者(zhe)(zhe)(zhe)疾病(bing)(bing)類(lei)型(xing)、呼(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)功(gong)(gong)(gong)能(neng)(neng)(neng)狀(zhuang)(zhuang)態及(ji)(ji)使(shi)用(yong)(yong)環(huan)境。C側(ce)重維(wei)持氣(qi)(qi)(qi)(qi)(qi)(qi)道(dao)開放，Bi提(ti)供雙向壓(ya)力(li)支(zhi)持，智能(neng)(neng)(neng)機(ji)型(xing)提(ti)升個性化(hua)(hua)治療體(ti)驗，而便攜(xie)(xie)式(shi)(shi)(shi)和(he)(he)高(gao)(gao)流量設備則拓展了(le)臨床(chuang)應用(yong)(yong)場景(jing)。隨著技術進步，遠程(cheng)監測(ce)、云數據管理等(deng)(deng)功(gong)(gong)(gong)能(neng)(neng)(neng)的(de)加入進一(yi)(yi)步優(you)(you)化(hua)(hua)了(le)長期家庭治療的(de)安(an)全(quan)性。