摘要
对 40例肺心病并发呼吸衰竭患者行气管插管并辅助机械通气治疗 ,应用较低潮气量、低频率通气、止酸剂预防上消化道出血、强化人工气道管理与营养支持疗法 ,取得了良好效果。结果 :存活34例 ( 85 % ) ,死亡 6例 ( 15 % ) ,2 7例 ( 67.5 % )通气≤ 10天。认为肺心病并发呼吸衰竭时早期实施气管插管 ,使用低通气模式 ,预防性应用抗酸剂并加强营养支持 ,强化人工气道管理 ,是减少并发症、提高抢救成功率的关键。
Forty patients with chronic cor pulmonale complicating respiratory failure were treated with mechanical ventilation with low tidal volume and low frequency together with prophylactic therapy for gastrointestinal bleeding,aggressive management of artificial airway and high nutritional therapy The results showed that 34 patients(84%)survived and 6(16%)died and the average intubated time in 27 patients being less than 10 days It is suggested that the key factors in the successful treatment of chronic cor pulmonale complicated with respiratory failure and reducing ventilation associated complication include early tracheal intubation,low tidal volume ventilator,prophylactic application of antacid,aggressive nutritional support and artificial airway management
出处
《山东医药》
CAS
北大核心
2000年第4期1-2,共2页
Shandong Medical Journal
关键词
肺心病
呼吸衰竭
机械通气
并发症
Cor pulmonale Respiratory failure Mechanical ventilation
