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有创与无创序贯机械通气治疗重症呼吸衰竭的临床观察 被引量:8

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摘要 目的探讨有创与无创序贯机械通气治疗各种原因所致呼吸衰竭的临床效果及应用价值。方法选择各种原因所致呼吸衰竭患者14例为序贯通气组,先经口气管插管正压通气,根据病情在3~7 d内拔除气管插管改为无创正压通气;选择同样病情患者14例作为对照组,经口气管插管正压通气,以同步间歇指令通气+压力支持通气(SIMV+PSV)方式撤机。观察两组病例的血气分析指标、机械通气时间、呼吸机相关性肺炎发生率、撤机成功率、住院死亡率等。结果序贯通气组和对照组治疗前基础情况匹配良好(P均>0.05)。序贯通气组有创通气时间、呼吸机相关肺炎(ventilator-associated pnuemonia,VAP)发生率、死亡例数、明显低于对照组(P均<0.05)。结论有创与无创序贯机械通气策略不仅可应用于慢性阻塞性肺疾病急性加重期(chronic obstructive pulmonary diseaseacute exacerbation,AECOPD),对重症肺炎等其他疾病所致呼吸衰竭也具有一定优势。
作者 何佩华
出处 《河南职工医学院学报》 2012年第1期15-17,共3页 Journal of Henan Medical College For Staff and Workers
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  • 1慢性阻塞性肺疾病无创机械通气治疗研究协作组.早期应用无创正压通气治疗慢性阻塞性肺疾病急性加重期患者的多中心随机对照研究[J].中华结核和呼吸杂志,2005,28(10):680-684. 被引量:226
  • 2覃涛,刘卫.弥漫性泛细支气管炎及其治疗进展[J].中国医学文摘(内科学),2005,26(5):613-615. 被引量:8
  • 3Ferrer M,Esquinas A,Leon M,et al.Noninvasive ventilation in severe hypoxemic respiratory failure:a randomized clinical trial[J].Am J Respir Crit Care Med,2003,168(2):1438-1444.
  • 4Brun-Buisson C,Minelli C,Bertolini G,et al.Epidemiology and outcome of acute lung injury in European intensive care units,results from the ALIVE study[J].Intensive Care Med,2004,30(1):51-61.
  • 5Lu Y,Song Z,Zhou X,et al.A 12-month clinical survey of incidence and outcome of acute respiratory distress syndrome in Shanghai intensive care units[J].Intensive Care Med,2004,30(12):2197-2203.
  • 6Rello J,Bodi M,Mariscal D,et al.Microbiological testing and outcome of patients with severe community acquired pneumonia[J].Chest,2003,123(1):174-180.
  • 7Ortqvist A.Initial investigation and treatment of the patient with severe community-acquired pneumonia[J].Semin Respir Infect,1994,9(3):166-179.
  • 8American thoracic society,Infectious diseases society of America.Guidelines for the nanagement of adults with hospital acquired,ventilator associated,and healthcare associated pneumonia[J].Am J Respir Crit Care Med,2005,171(4):388-416.
  • 9Bach P B,Schrag D,Nierman D M,et al.Identification of poor prognostic features among patients requiring mechanical ventilation after hematopoietic stem cell transplantation[J].Blood,2001,98(12):3234-3240.
  • 10Bedos J P,Dumoulin J L,Gachot B,et al.Pneumocystis carinii pneumonia requiring intensive care management:survival and prognostic study in 110 patients with human immunodeficiency virus[J].Crit Care Med,1999,27(6):1109-1115.

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