摘要
目的 :探讨慢性阻塞性肺病 (COPD)急性期患者对机械通气产生依赖的原因 ,以及相应的治疗方法。方法 :对 3年来收入我院ICU 36例行机械通气的COPD急性期病人进行回顾性研究。结果 :在 36例COPD急性期病人中 ,2 2例出现了对呼吸机的依赖 ,发生率约 6 1% ,最后 16例成功撤机 ,占 73% ,6例因严重并发症死亡 ,占 2 7%。感染、营养不良及呼吸机应用不当是造成对呼吸机依赖的主要原因。 14例出现营养不良或加重 ,列居所有并发症之首。结论 :加强感染控制 ,合理的营养支持 ,减少呼吸肌做功 ,以及减少并发症的发生是治疗的关键。
Aim:To study causes and treatment of ventilator dependent patients with chronic obstructive pulmonary disease(COPD) in acute respiratory failure.Methods:Retrospective studies were performed on 36 cases of COPD with acute respiratory failure who enrolled ICU in our hospital during past 3 years.Results:Twenty two patients developed ventilator dependent with an incidence 61%.Among them,16 patients(73%)were successfully weaned.6 patients died of serious complications.Infections,malnutrition and improper mechanical ventilation were main factors responsible for the dependency.Malnutrition (14 cases)was the most commm factor.Conclusion:We consider,therefore,effective infection control,reasonable nutritional support,lessening the work of respiratory muscles as well as minimizing the occurrence of complications are the keys of successful treatment.
出处
《急诊医学》
CSCD
1999年第2期90-92,共3页
