摘要
为探讨有创机械通气治疗严重急性呼吸综合征 (severeacuterespiratorysyndrome ,SARS)的优缺点及适应症 ,本文分析我院SARSICU 2 0 0 3年 5月 15日到 6月 18日收治的 4例应用有创通气治疗的重症SARS患者的资料。 4例患者中有 1例痊愈 ,3例死亡 ,其中 2例死于SARS所致缺氧 ,另外 1例死于缺氧及继发的室性心律失常、感染性休克和肾功能衰竭。结果显示有创机械通气对于改善重症SARS患者的氧合是一种有效方法 ,但患者存活率不高 ,并可能增加医护人员的交叉感染 ,故应用时需权衡利弊。
In order to describe the advantages and the disadvantages of invasive mechanical ventilation in the treatment of patients with serious SARS, we reviewed four serious SARS patients treated with invasive mechanical ventilation.One of the 4 serious SARS patients recovered, the remaining 3 patients died from SARS per se and/or the complications related to mechanical ventilation. It was shown that invasive mechanical ventilation might be an effective method to improve the oxygenation in serious SARS cases. However, the survival rate of patients with mechanical ventilation remains low. Moreover, invasive mechanical ventilation might cause cross infection among medical staff. Therefore, the cost-effectiveness should be considered before mechanical ventilation.
出处
《基础医学与临床》
CSCD
北大核心
2004年第3期303-305,共3页
Basic and Clinical Medicine
关键词
有创机械通气
治疗
SARS
适应症
severe acute respiratory syndrome(SARS)
invasive mechanical ventilation
