论文部分内容阅读
我院急诊监护室自1987年3月—1991年12月需机械通气抢救急性呼吸衰竭69例,共76例次。现作回顾性总结分析、以冀更加合理应用机械通气,进一步提高抢救成功率。临床资料一、一般资料因不同病因致急性呼吸衰竭需机械通气的危重病人69例,共76例次。男性41例(46例次),女性28例(30例次)。年龄最小20岁,最大81岁,平均年龄为57.4岁。二、抢救方法 69例中除少数有明显机械通气指征而行紧急机械通气外,多数急性呼吸衰竭病人则常规给氧(COPD 病人以低流量给氧)并给予解痉、止咳化痰、祛痰、纠正水电解质、选择有效的抗菌素、药物雾化吸入、应用呼吸兴奋剂、营养支持,必要时用激素或强心剂。为上述治疗无效,则尽早建立人工气道,进行机械通气。三、建立人工气道方式与病死率(见表1)。
Our hospital emergency care unit since March 1987 - December 1991 need mechanical ventilation to rescue 69 cases of acute respiratory failure, a total of 76 cases. Now make a retrospective summary analysis, in order to more reasonable application of mechanical ventilation, to further improve the success rate of rescue. Clinical data First, the general information of acute respiratory failure due to different causes of mechanical ventilation in critically ill patients 69 cases, a total of 76 cases times. There were 41 males (46 cases) and 28 females (30 cases). The youngest 20 years old, maximum 81 years old, the average age of 57.4 years old. Second, the rescue method 69 cases in addition to a few obvious indications for mechanical ventilation and emergency mechanical ventilation, the majority of patients with acute respiratory failure was routine oxygen (COPD patients with low flow oxygen) and given antispasmodic, cough and phlegm, cured Phlegm, correct water and electrolyte, select an effective antibiotic, drug inhalation, respiratory stimulants, nutritional support, if necessary, with hormones or cardiotonic agents. For the treatment of ineffective, the establishment of artificial airway as soon as possible, for mechanical ventilation. Third, the establishment of artificial airway and mortality (see Table 1).