摘要
报告31例慢性呼衰病情恶化患者行机械通气救治情况。结果：好转18例，占58．06％，死亡13例，占41．94％。讨论了机械通气在救治慢性呼衰病情加重时的优势；重申了抗感染，保证气道通畅及营养治疗的重要性；另外，就机械通气中患者的血气变化、PEEP的应用及脱机时机的选择展开了讨论。认为在积极治疗原发病，保证气道通畅的前提下，发挥呼吸机在改善通气功能、减少呼吸功方面的优势，有利于慢性呼哀病情急剧恶化时的救治。
The therapeutic action of mechanical ventilation in 31 cases of deteriorating chronic respiratory fail-ure is reported. There were 18 cases of remission (58. 06%) and 13 cases of death (41. 94%). Several importantfactors of the therapy were discussed including the status of mechanical ventilation in the treatment of chronic res-piratory failure, the treatment of anti-infection, patency of airway, nutritional support, changes in blood gases,the use of PEEP and the timing of mechanical ventilator discontinuation. It suggests that with the help of treating primary diseases and keeping airway unobstructed, improving ventilation and reducing respiratory fatigue of pa-tients by mechanical ventilation might be of benefit to the treatment of serious chronic respiratory failure-
出处
《急诊医学》
CSCD
1997年第3期145-147,共3页
关键词
慢性
机械通气
呼吸衰竭
治疗
Chronic respiratory failure Mechanical ventilation
