摘要
目的探讨临床上抢救慢性阻塞性肺病合并呼吸衰竭的方法以及治疗的效果。方法选取本院在2011年6月～2012年6月期间收治的78例慢性阻塞性肺病伴有呼吸衰竭的患者,对所选取的患者都采用以下措施进行抢救:首先给予患者低流量持续性的吸氧,并给予抗生素、抗感染药物、祛痰药物以及解除气管痉挛的药物,同时保持酸碱平衡和纠正机体水电解质紊乱的现象。在此基础上,采用无创正压通气法进行治疗。在通气的过程中,严密观察患者的体征体征以及临床症状的改善情况,并将患者在急救前后的状况进行对比。结果所选取的患者经过急救之后,无效8例,有效70例,无效的8例患者之后改成采用有创通气进行治疗,总的治疗有效率为89.7%。患者在急救前后的血压、频率以及呼吸有明显的差异(P<0.05)。结论采用无创正压通气对于慢性阻塞性肺病伴有呼吸衰竭的患者进行急救,可以明显的改善患者的临床症状,治疗效果较好,值得在临床上进行推广。
Objective To investigate the method and clinical effect in the treatment of chronic obstructive pulmonary disease with respiratory failure. Methods 78 cases of patients who had chronic obstructive pulmonary disease（COPD） with respiratory failure and had been admitted to our hospital from June, 2011 to June, 2012 were selected. They were treated by the following measures： Firstly, the patients were given low-flow continuous oxygen and antibiotics, anti- infectives, expectorant drugs, as well as contact bronchospasm drugs. At the same time their acid-base balance was maintained and body water electrolyte disorder phenomenon was corrected.On this basis, noninvasive positive pressure ventilation was used in the treatment. In the ventilation process, the signs and improvement of clinical symptoms of the patients were observed strictly, and the situation of the patients before and after the emergency were compared. Results After the first aid, the results of 8 cases of the selected patients was ineffective, 70 cases effective, then the 8 patients were treated by mechanical ventilation,The total effective rate was 89.7%. The differences of blood pressure, frequency and respiratory of the patients before and after the first aid were significant differenees（P 〈 0.05）. Conclusion The noninvasive positive pressure ventilation can significantly improve the patient＇s clinical symptoms in the treatment of chronic obstructive pulmonary disease with respiratory failure, it has good treatment effect and ：leserves to be widely l^romoted in the clinical_
出处
《中国医药科学》
2013年第9期179-180,共2页
China Medicine And Pharmacy
关键词
无创正压通气
慢性阻塞性肺病
呼吸衰竭
Noninvasive positive pressure ventilation
Chronic obstructive pulmonary disease
Respiratory failure
