摘要
目的 探讨气管插管并人工机械通气在危重肺心病呼吸衰竭患者救治中的作用和方法。方法 2 86例危重肺心病呼吸衰竭患者均采用在纤支镜引导下经鼻、口的方式进行气管插管并行人工机械通气 ,多功能呼吸机先采用持续麻醉和辅助 /控制 (A/C)通气模式 ,待病情稳定后再改为间歇指令通气 (SIMV) +压力支持通气 (PSV) ,最后单用SIMV脱机。结果 成功救治 2 34例 ( 81 8% ) ,死亡 5 2例 ( 18 2 % ) ,并发症 72例 ( 2 6 9% )。
Objective To explore and estimate the efficacy and methods of endotracheal intubation and mechanical ventilation in severe cor pulmonale induced respiratory failure Methods 286 cases of severe cor pulmonale induced respiratory failure were treated through mouth or nose with the aid of fibrotrochoscopy and then mechanically ventilated by multi-function ventilator Patients were treated by the continuous anesthesia and assist/control- mode ventilation at first, then changed to SIMV(synchronized intermittent man-datory ventilation)+PSV(pressure support ventilation)when the patient was in a safe situation, and at last treated by SIMV alone Results 234 cases were saved successfully (81 8%),52 cases died (18 2%),and 72 cases got certain complications (26 9%) Conclusions Endotracheal intubation and mechanical ventilation is an effective method to cure cor pulmonale with respiratory failure
出处
《中国急救医学》
CAS
CSCD
北大核心
2004年第4期235-237,共3页
Chinese Journal of Critical Care Medicine
基金
全军"十五"重点课题资助项目 (No 0 1Z0 74)
关键词
肺心病
呼吸衰竭
气管插管
机械通气
Cor pulmonale
Respiratory failure
Endotracheal intubation
Mechanical ventilation
