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球囊膨肺在气管切开患者肺部并发症防治中的应用 被引量：10

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摘要 目的：探讨球囊膨肺在因神经源性疾病致气管切开患者肺部并发症防治中的作用。方法选取2015年1～12月本院重症医学科收治的气管切开患者，将患者随机分为常规治疗组（对照组）和球囊膨肺组（试验组），对照组进行常规气道管理，试验组在常规气道管理基础上进行球囊膨肺。观察两组患者肺CT、呼吸浅快指数、肺顺应性、痰量、肺损伤评分（lung injury score， LIS）、呼吸机接概率。结果共84例因大面积脑出血、脑梗死和颅脑外伤等非肺源性原因致气管切开带管患者入选试验，因各种原因退出9例，最终完成本研究共75例，其中对照组39例，试验组36例；两组基线资料差异无显著性（P值均＞0.05）。试验组经球囊膨肺后氧合指数[（285.58±63.25）mmHg（1mmHg=0.133kPa）]高于对照组[（191.85±41.85）mmHg]（P＜0.01）、呼吸浅快指数[（24.1±6.9）次/L]低于对照组[（37.4±7.5）次/L]（P＜0.01）、肺顺应性[（188.6±39.1）ml/cmH2O]高于对照组[（131.6±29.7）ml/cmH2O]（P＜0.01）、24小时痰量[（15.4±5.6）ml]低于对照组[（22.7±9.7）ml]（P＜0.01）、肺并发症发生率（25.00%）低于对照组（92.31%，P＜0.01）；心率、呼吸、平均动脉压、LIS均无显著性变化（P值均＞0.05）。所有患者无气胸发生。结论球囊膨肺能够改善神经重症气管切开患者的肺部并发症，且无严重并发症发生。
作者 张露 李艳 曹锋生
机构地区 湖北省襄阳市中心医院重症医学科
出处 《中国医刊》 CAS 2016年第10期101-104,共4页 Chinese Journal of Medicine
关键词 简易呼吸器 肺复张 神经重症 气管切开 肺部并发症
分类号 R454.9 [医药卫生—治疗学]
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参考文献20

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二级参考文献13

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共引文献62

同被引文献80

引证文献10

二级引证文献51

中国医刊
2016年 第10期

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