摘要
经机械呼吸治疗的慢性阻塞性肺疾病(COPD)呼吸衰竭102例中死亡48例,病死率47.1％。入院时重要脏器功能损害数与预后有关,2个脏器损害者病死率34.1％,3个脏器受累者52.9％,4个或4个以上脏器损害者68.2％,三组间病死率差别有统计学意义(P<0.01)。而年龄、性别、病程、以往有无呼吸衰竭史或人工气道史。入院时血气、本次住院人工气道次数、人工气道留置时间等因素与预后均无关。机械呼吸中发生气胸8例,死亡6例,病死率75％,但与未发生气胸组相比,病死率的差别未达到无统计学意义。
Among 102 chronic obstructive pulmonary disease (COPD) patients with acute respiratory failure 48 patients died, a mortality of 47.1%. It was found that there was no relationship between mortality and age, sex, course, previous episode, previous artificial airway, arterial blood gas on admission, and number and period of artificial airway during hospitalization. However the number of organs with abnormal function was associated with prognosis. In 8 patients suffered from pneumothorax during mechanical ventilation, 6 died.
出处
《上海医学》
CAS
CSCD
北大核心
1992年第2期81-83,共3页
Shanghai Medical Journal
关键词
呼吸衰竭
机械通气
COPD
肺病
Chronic obstructive pulmonary disease
respiratory failure
mechanical ventilation
prognosis
