期刊文献+

机械通气治疗急重症颅脑损伤合并ARDS 47例分析

Mechanical ventilation treatment on acute respiratory distress syndrome in acute severe brain injury
暂未订购
导出
摘要 目的探讨机械通气治疗急重症颅脑损伤合并急性呼吸窘迫综合征(ARDS)的有效性和可行性。方法回顾性分析47例急重症颅脑损伤合并ARDS患者的治疗过程。结果本组患者均给予人工开放气道及呼吸机辅助呼吸,13例死亡,死亡率为27.66%。结论早期诊断并尽早呼吸机治疗可有效降低本病的死亡率。 Objective To explore the mechanical ventilation treatment of acute severe brain injury complicated w ith acute resp iratory distress syndrome. Methods 47 cases of acute severe brain injury complicated with acute respiratory distress syndrome were reviewed. Results In the group,all the patients required tracheotomy and assisted breathing with ventilator.13 cases died,The mortality was 27.66%. Conclusion Early diagnosis and mechanical ventilation treatment of ARDS are effective methods to decrease the mortality of the disease.
作者 林兆恒
出处 《中国实用医药》 2009年第6期67-68,共2页 China Practical Medicine
关键词 急重症颅脑损伤 急性呼吸窘迫综合征 机械通气 Acute severe brain injury Acute respiratory distress syndrome Mechanical ventilation
  • 相关文献

参考文献3

二级参考文献33

  • 1何礼贤.呼吸道病原体与组织界面的粘附与定植[A]..肺部感染性疾病.第1版[C].上海医科大学出版社,1996.30-40.
  • 2金惠铭.缺血-再灌注损伤[A].吴立玲.病理生理学.第5版[C].北京:人民卫生出版社,2000.150-177.
  • 3Kraffe P, Friedrich P, Peenerstorfor T,et al .The acute respiratory distress syndrome: definition, severity and clinical outcome: an analysis of 101 clinical investigation[J] .Intensive Care Med. 1996.22:519-529.
  • 4Dreyfuss D, Sauman G. Ventilator- induced lung injury: lessons from experiment studies[ J]. Am J Respir Crit Care Med, 1998, 157:294 -323.
  • 5Muscedere JG, Mullen JB, Can K, et al. Tidal ventilation at low airway pressure can augment lung injury[J]. Am J Respir Crit Care Med, 1994,149: 1327- 1334.
  • 6Gaver DP Ⅲ, Kute SM. A theoretical model study of the influence of fluid stresses on a cell adhering to a microchannel wall[J]. Biophy J, 1998,75:721 - 733.
  • 7Chiumello D,Pristine G, Slutaky AS. Mechanical ventilation affects local and systemic cytokines in animal model of acute respiratory distress syndrome[J] .Am J Respir Grit Care Med,1999,160:109- 116.
  • 8Held H, Boettcher S, Hamann L, et al. Ventilation - induced chemoldne and cytokine release is associated with activation of NF -κB and is blocked by steroids[J]. Am J Respir Crit Care Med, 2001, 163:711 -716.
  • 9Ranieri V,Suter P,Tctlorella C, et al. Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial[J]? JAMA,1999,282:.54- 61.
  • 10Slutaky AS, Tremblay LN. Multiple system organ failure. Is mechanical ventilation a contributing factor[J]? Am J Respir Crit Care Med, 1998,157:172 - 175.

共引文献38

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部