smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2026-27-1-70-76smp-1016Research ArticleАНЕСТЕЗИОЛОГИЯ И РЕАНИМАТОЛОГИЯANESTHESIOLOGY AND RESUSCITATIONОксиген-индуцированная гиперкапния у пациентов с обострениями хронической обструктивной болезни легких: патогенез, диагностика и профилактика при оказании скорой медицинской помощи (обзор)Oxygen-induced hypercapnia in patients with exacerbations of chronic obstructive pulmonary disease: pathogenesis, diagnosis and prevention in emergency medical care (review)https://orcid.org/0009-0009-3904-5496ЕршовА. Л.ErshovA. L.

Ершов Андрей Львович — кандидат медицинских наук, доцент кафедры скорой медицинской помощи.

191015, Санкт-Петербург, Кирочная ул., д. 41

Andrey L. Ershov

St. Petersburg

andyershov@yandex.ruСеверо-Западный государственный медицинский университет им. И.И. МечниковаРоссияNorth-Western State Medical University named after I.I. MechnikovRussian Federation2026210220262717076Copyright © Ершов А.Л., 20262026Ершов А.Л.Ershov A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/1016Цель исследования

Цель исследования: проведение анализа периодической медицинской литературы по проблеме возникновения оксигениндуцированной гиперкапнии у пациентов с тяжелой хронической и острой дыхательной недостаточностью (ДН) и её значимости при оказании экстренной помощи больным с хронической обструктивной болезни легких (ХОБЛ).

Материалы и методы

Материалы и методы. Проанализировано 18 источников литературы по тематике обзора.

Результаты исследования

Результаты исследования. На этапе оказания скорой медицинской помощи (СМП) и больных с тяжелыми формами ДН имеется риск возникновения осложнения оксигенотерапии в виде нарастания концентрации углекислого газа в крови, что может заметным образом усугубить тяжесть состояния пациентов. Данное осложнение особенно вероятно у больных с высокой исходной гиперкапнией, связанной с ХОБЛ. В механизме формирования данного осложнения важную роль играет неадекватно высокий поток кислорода, подаваемого пациенту во время ингаляции.

Заключение

Заключение. Проведенный анализ данных литературы может иметь практическое значение для врачей и фельдшеров выездных бригад, а также стационарных отделений СМП при оказании медицинской помощи больным с обострением ХОБЛ.

The purpose of the study

The purpose of the study: conducting an analysis of periodical medical literature on the problem of the occurrence of oxygen-induced hypercapnia in patients with severe chronic and acute respiratory failure (RF) and its significance in providing emergency care to patients with chronic obstructive pulmonary disease (COPD).

Objectives of the study

Objectives of the study. 18 articles on the subject of the review were analyzed.

The results of the study

The results of the study. During emergency medical care (EMC), patients with respiratory failure are at risk of developing complications from oxygen therapy, such as increased blood carbon dioxide levels, which can significantly worsen the prognosis. This complication is particularly likely in severely ill patients with underlying hypercapnia associated with obstructive airway disease. Inappropriately high oxygen flow during inhalation plays a significant role in the development of this complication.

Conclusion

Conclusion. This analysis of literature may have practical importance for medical staff of ambulance brigades, as well as for physicians in hospital›s emergency room when providing medical care to patients with worsening bronchoobstructive diseases.

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The authors declare that there are no conflicts of interest present.