摘要
本研究结果表明,心肺复苏时气管插管者的病死率(63.3%)远较选择性插管者(28.9%)为高(P<0.01).因此,不应将人工机械通气作为抢救呼衰患儿的最后手段.并提出应用吸收器的具体指征.经鼻气管内插管导管留置时间超过1周者42例(最长46天).38例存活.对其中19例(平均置管19.9天)远期随访,无1例发生喉部严重后遗症.表明采用硅胶管作经鼻插管.
212 cases of acute respiratory failure treated with mechanical ventilation were reviewed. The most common underlying diseases were severe pneumonia (72 cases), Jntracranial lesions (40 cases), post-operative support (16 cases). The overall mortality rate was 36.7% (82/212). The mortality rate of intubation and mechanical ventilation during CPR (63.3%) was much higher than that of selective intubation (28.9%),which had significant difference(X=21.4,p<0.01).It is unwise to intubate and ventilate achild until he is dying. The average duration of ventilation support was 6.67 days(l hour to 72 days). 38 of 42 prolonged nasotracheal intubations(raore than 1 week) were survived. Among them 19 showed no severe sequela during long-time foilowup. This reveals that the polyvinylchloride endotracheal tubes can be kept in place for 1 to several weeks
出处
《重庆医科大学学报》
CAS
CSCD
1991年第2期129-132,共4页
Journal of Chongqing Medical University
关键词
呼吸衰竭
儿童
人工呼吸器
Acute Respiratory Failure. Ventilator
Nasotracheal Intubation
