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本文对12例老年患者术后呼吸衰竭分析结果表明,老年患者因其脏器存在潜在功能障碍,如果术前准备不充分,术中生命体征不平稳,特别是逾量补液时易发生呼吸衰竭。其发生率为4.5％,呼吸衰竭发生后及时给予氧疗,同时应给予脱水利尿药物、低分子右旋糖苷及皮质激素可减轻肺水肿。上述治疗失败后应及时进行机械通气。维持术中、术后血压稳定,防治肺部感染是预防术后呼吸衰竭的主要措施。
In this paper, 12 elderly patients with postoperative respiratory failure analysis showed that elderly patients with potential dysfunction due to their organs, if the preoperative preparation is not sufficient, intraoperative vital signs are not stable, especially when excessive rehydration prone to respiratory failure. The incidence was 4.5%, respiratory failure occurred promptly given oxygen therapy, should also be given dehydration diuretic drugs, low molecular weight dextran and corticosteroids can reduce pulmonary edema. After the failure of the above treatment should be timely mechanical ventilation. To maintain intraoperative and postoperative blood pressure stability, prevention and treatment of pulmonary infection is the main measure to prevent postoperative respiratory failure.